Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.32 / $42.05 / $51.91	Professional		$20.32	$42.05	$51.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $94.03 / $94.03 / $94.03	Facility		$94.03	$94.03	$94.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.72 / $54.48 / $65.64	Professional		$24.72	$54.48	$65.64
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $69.09 / $131.63 / $192.25	Professional		$69.09	$131.63	$192.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.63 / $23.63 / $23.63	Professional		$23.63	$23.63	$23.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $29.39 / $57.29	Professional		$25.00	$29.39	$57.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.87 / $46.87 / $70.00	Professional		$46.87	$46.87	$70.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $116.93 / $257.91	Facility		$80.00	$116.93	$257.91
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $315.07 / $315.07 / $492.30	Professional		$315.07	$315.07	$492.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.32 / $52.08 / $52.84	Facility		$31.32	$52.08	$52.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.63 / $23.63 / $69.48	Professional		$23.63	$23.63	$69.48
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $98.29 / $98.29 / $98.29	Professional		$98.29	$98.29	$98.29
United Facility/Professional Professional Modifier Low / Median / High Price $22.70 / $24.56 / $73.03	Professional		$22.70	$24.56	$73.03