Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.78 / $56.60 / $78.08	Professional		$28.78	$56.60	$78.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.01 / $138.01 / $138.01	Facility		$138.01	$138.01	$138.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.39 / $77.12 / $92.91	Professional		$29.39	$77.12	$92.91
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $193.22 / $282.20	Professional		$100.00	$193.22	$282.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.45 / $33.45 / $33.45	Professional		$33.45	$33.45	$33.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $25.75 / $84.08	Professional		$25.00	$25.75	$84.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $68.80 / $95.55	Professional		$63.00	$68.80	$95.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $110.84 / $188.18 / $371.64	Facility		$110.84	$188.18	$371.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $462.69 / $462.69 / $573.75	Professional		$462.69	$462.69	$573.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.95 / $76.44 / $78.97	Facility		$45.95	$76.44	$78.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.45 / $33.45 / $81.66	Professional		$33.45	$33.45	$81.66
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $144.28 / $144.28 / $144.28	Professional		$144.28	$144.28	$144.28
United Facility/Professional Professional Modifier Low / Median / High Price $32.15 / $34.76 / $97.44	Professional		$32.15	$34.76	$97.44