Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.66 / $372.00 / $917.73	Facility		$26.66	$372.00	$917.73
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $257.99 / $500.36 / $1,357.76	Facility	25	$257.99	$500.36	$1,357.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,225.00 / $2,827.00 / $2,827.00	Facility		$1,225.00	$2,827.00	$2,827.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $114.33 / $114.33 / $662.51	Facility		$114.33	$114.33	$662.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.19 / $13.19 / $972.00	Facility		$13.19	$13.19	$972.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $11.98 / $15.18 / $18.22	Professional		$11.98	$15.18	$18.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.78 / $14.55 / $64.00	Professional		$10.78	$14.55	$64.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $29.33 / $53.32 / $176.00	Facility		$29.33	$53.32	$176.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.79 / $16.32 / $55.62	Facility		$11.79	$16.32	$55.62
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $105.00 / $105.00 / $110.00	Facility		$105.00	$105.00	$110.00