Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.07 / $49.42 / $86.98	Professional		$31.07	$49.42	$86.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $181.16 / $181.16 / $181.16	Facility		$181.16	$181.16	$181.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.91 / $87.06 / $100.34	Professional		$28.91	$87.06	$100.34
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $253.63 / $370.43	Professional		$100.00	$253.63	$370.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.11 / $36.11 / $36.11	Professional		$36.11	$36.11	$36.11
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $40.00 / $110.37	Professional		$21.31	$40.00	$110.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $90.31 / $90.31 / $193.00	Professional		$90.31	$90.31	$193.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $151.69 / $183.29 / $476.62	Facility		$151.69	$183.29	$476.62
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $487.04 / $498.74 / $564.45	Professional		$487.04	$498.74	$564.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $53.38 / $100.34 / $100.34	Facility		$53.38	$100.34	$100.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.11 / $36.11 / $117.59	Professional		$36.11	$36.11	$117.59
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $189.38 / $189.38 / $189.38	Professional		$189.38	$189.38	$189.38
United Facility/Professional Professional Modifier Low / Median / High Price $34.71 / $37.54 / $117.33	Professional		$34.71	$37.54	$117.33