Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.45 / $44.34 / $58.14	Professional		$21.45	$44.34	$58.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $121.09 / $121.09 / $121.09	Facility		$121.09	$121.09	$121.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.40 / $57.48 / $69.25	Professional		$24.40	$57.48	$69.25
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $88.99 / $169.54 / $247.62	Professional		$88.99	$169.54	$247.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.93 / $24.93 / $24.93	Professional		$24.93	$24.93	$24.93
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $21.89 / $25.00 / $73.78	Professional		$21.89	$25.00	$73.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.00 / $60.36 / $87.19	Professional		$57.00	$60.36	$87.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $97.25 / $115.32 / $318.58	Facility		$97.25	$115.32	$318.58
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $332.40 / $332.40 / $519.38	Professional		$332.40	$332.40	$519.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.07 / $67.06 / $67.51	Facility		$38.07	$67.06	$67.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.93 / $24.93 / $71.75	Professional		$24.93	$24.93	$71.75
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $126.59 / $126.59 / $126.59	Professional		$126.59	$126.59	$126.59
United Facility/Professional Professional Modifier Low / Median / High Price $23.96 / $25.91 / $87.26	Professional		$23.96	$25.91	$87.26