Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.21 / $11.72 / $17.55	Professional		$6.21	$11.72	$17.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.20 / $36.20 / $36.20	Facility		$36.20	$36.20	$36.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.77 / $18.04 / $20.05	Professional		$5.77	$18.04	$20.05
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $30.69 / $54.92 / $86.69	Professional		$30.69	$54.92	$86.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.22 / $7.22 / $7.22	Professional		$7.22	$7.22	$7.22
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $20.05 / $22.06 / $65.00	Professional		$20.05	$22.06	$65.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $18.05 / $25.06	Professional		$17.00	$18.05	$25.06
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $95.24 / $100.00	Facility		$80.00	$95.24	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $102.65 / $105.12 / $112.80	Professional		$102.65	$105.12	$112.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.46 / $20.05 / $20.05	Facility		$10.46	$20.05	$20.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.22 / $7.22 / $21.70	Professional		$7.22	$7.22	$21.70
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $37.86 / $37.86 / $37.86	Professional		$37.86	$37.86	$37.86
United Facility/Professional Professional Modifier Low / Median / High Price $6.94 / $7.51 / $20.23	Professional		$6.94	$7.51	$20.23