Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.05 / $38.15 / $56.69	Professional		$26.05	$38.15	$56.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.03 / $38.03 / $38.03	Facility		$38.03	$38.03	$38.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.09 / $45.82 / $119.48	Professional		$33.09	$45.82	$119.48
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $8.81 / $20.57 / $41.56	Professional		$8.81	$20.57	$41.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.90 / $36.90 / $36.90	Professional		$36.90	$36.90	$36.90
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $54.78 / $60.26 / $73.95	Professional		$54.78	$60.26	$73.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $54.18 / $98.60	Professional		$34.67	$54.18	$98.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $77.98 / $85.00 / $222.73	Facility		$77.98	$85.00	$222.73
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $268.01 / $268.01 / $347.78	Professional		$268.01	$268.01	$347.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.99 / $51.88 / $69.23	Facility		$14.99	$51.88	$69.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.90 / $36.90 / $81.25	Professional		$36.90	$36.90	$81.25
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $145.90 / $145.90 / $145.90	Professional		$145.90	$145.90	$145.90
United Facility/Professional Professional Modifier Low / Median / High Price $25.42 / $38.13 / $73.73	Professional		$25.42	$38.13	$73.73