Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.21 / $44.36 / $57.95	Professional		$22.21	$44.36	$57.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $115.12 / $115.12 / $115.12	Facility		$115.12	$115.12	$115.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.46 / $59.53 / $71.72	Professional		$24.46	$59.53	$71.72
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $84.60 / $161.15 / $235.36	Professional		$84.60	$161.15	$235.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.82 / $25.82 / $25.82	Professional		$25.82	$25.82	$25.82
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $22.18 / $25.00 / $70.14	Professional		$22.18	$25.00	$70.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $57.38 / $79.70	Professional		$55.00	$57.38	$79.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $92.45 / $115.65 / $302.86	Facility		$92.45	$115.65	$302.86
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $339.54 / $339.54 / $517.04	Professional		$339.54	$339.54	$517.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.35 / $63.76 / $63.92	Facility		$38.35	$63.76	$63.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.82 / $25.82 / $71.75	Professional		$25.82	$25.82	$71.75
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $120.33 / $120.33 / $120.33	Professional		$120.33	$120.33	$120.33
United Facility/Professional Professional Modifier Low / Median / High Price $24.81 / $26.83 / $76.51	Professional		$24.81	$26.83	$76.51