Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.25 / $25.71 / $138.44	Professional		$18.25	$25.71	$138.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.12 / $41.05 / $148.03	Professional		$26.12	$41.05	$148.03
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $17.71 / $24.75 / $71.68	Professional		$17.71	$24.75	$71.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.32 / $22.32 / $22.32	Professional		$22.32	$22.32	$22.32
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $31.33 / $34.46 / $50.13	Professional		$31.33	$34.46	$50.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.77 / $29.66 / $48.16	Professional		$24.77	$29.66	$48.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $128.63 / $130.72	Facility		$75.00	$128.63	$130.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $207.00 / $247.34 / $257.24	Professional		$207.00	$247.34	$257.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.32 / $22.32 / $61.75	Professional		$22.32	$22.32	$61.75
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $85.89 / $85.89 / $85.89	Professional		$85.89	$85.89	$85.89
United Facility/Professional Professional Modifier Low / Median / High Price $14.78 / $17.55 / $71.66	Professional		$14.78	$17.55	$71.66