Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.41 / $25.25 / $69.61	Professional		$17.41	$25.25	$69.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.88 / $30.28 / $68.73	Professional		$20.88	$30.28	$68.73
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $18.39 / $26.00 / $74.69	Professional		$18.39	$26.00	$74.69
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 Facility Modifier Low / Median / High Price $25.48 / $32.65 / $50.13	Facility		$25.48	$32.65	$50.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.32 / $22.32 / $59.34	Professional		$22.32	$22.32	$59.34
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Professional		$63.10	$63.10	$63.10
United Facility/Professional Professional Modifier Low / Median / High Price $14.78 / $17.55 / $62.20	Professional		$14.78	$17.55	$62.20