Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.67 / $19.30 / $27.08	Professional		$9.67	$19.30	$27.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.39 / $56.39 / $56.39	Facility		$56.39	$56.39	$56.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.06 / $25.92 / $31.23	Professional		$10.06	$25.92	$31.23
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $41.44 / $81.13 / $115.31	Professional		$41.44	$81.13	$115.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.24 / $11.24 / $11.24	Professional		$11.24	$11.24	$11.24
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $7.68 / $31.23 / $65.00	Professional		$7.68	$31.23	$65.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.11 / $28.11 / $39.04	Professional		$28.11	$28.11	$39.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $100.00 / $148.34	Facility		$80.00	$100.00	$148.34
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $210.56 / $215.60 / $225.30	Professional		$210.56	$215.60	$225.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.55 / $31.23 / $31.23	Facility		$16.55	$31.23	$31.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.24 / $11.24 / $34.09	Professional		$11.24	$11.24	$34.09
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $58.95 / $58.95 / $58.95	Professional		$58.95	$58.95	$58.95
United Facility/Professional Professional Modifier Low / Median / High Price $10.81 / $11.69 / $39.81	Professional		$10.81	$11.69	$39.81