Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.56 / $45.25 / $55.69	Professional		$22.56	$45.25	$55.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.50 / $112.50 / $112.50	Facility		$112.50	$112.50	$112.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $60.45 / $72.83	Professional		$27.40	$60.45	$72.83
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $82.68 / $157.50 / $230.04	Professional		$82.68	$157.50	$230.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.22 / $26.22 / $26.22	Professional		$26.22	$26.22	$26.22
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $31.14 / $68.54	Professional		$25.00	$31.14	$68.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.08 / $56.08 / $77.89	Professional		$56.08	$56.08	$77.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $90.35 / $129.51 / $295.97	Facility		$90.35	$129.51	$295.97
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $347.90 / $347.90 / $543.60	Professional		$347.90	$347.90	$543.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.49 / $62.31 / $63.23	Facility		$37.49	$62.31	$63.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.22 / $26.22 / $73.02	Professional		$26.22	$26.22	$73.02
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $117.60 / $117.60 / $117.60	Professional		$117.60	$117.60	$117.60
United Facility/Professional Professional Modifier Low / Median / High Price $25.19 / $27.73 / $80.76	Professional		$25.19	$27.73	$80.76