Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.42 / $42.42 / $53.53	Professional		$42.42	$42.42	$53.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.14 / $124.30 / $207.13	Professional		$86.14	$124.30	$207.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $225.00 / $250.00 / $250.00	Professional		$225.00	$250.00	$250.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $180.35 / $638.07	Professional		$50.00	$180.35	$638.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $90.00 / $176.00	Facility		$70.00	$90.00	$176.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $132.00 / $206.00 / $206.00	Professional		$132.00	$206.00	$206.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $68.47 / $68.47 / $120.78	Professional		$68.47	$68.47	$120.78