Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.45 / $39.79 / $56.15	Professional		$20.45	$39.79	$56.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $113.80 / $113.80 / $113.80	Facility		$113.80	$113.80	$113.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.02 / $54.83 / $66.06	Professional		$23.02	$54.83	$66.06
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $83.63 / $159.33 / $232.70	Professional		$83.63	$159.33	$232.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.78 / $23.78 / $23.78	Professional		$23.78	$23.78	$23.78
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $21.69 / $25.00 / $69.33	Professional		$21.69	$25.00	$69.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.73 / $56.73 / $78.79	Professional		$56.73	$56.73	$78.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $91.39 / $108.85 / $299.39	Facility		$91.39	$108.85	$299.39
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $328.98 / $328.98 / $495.45	Professional		$328.98	$328.98	$495.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $63.03 / $66.06	Facility		$36.31	$63.03	$66.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.78 / $23.78 / $71.75	Professional		$23.78	$23.78	$71.75
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $118.97 / $118.97 / $118.97	Professional		$118.97	$118.97	$118.97
United Facility/Professional Professional Modifier Low / Median / High Price $22.85 / $24.71 / $80.34	Professional		$22.85	$24.71	$80.34