Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.57 / $50.97 / $66.45	Professional		$24.57	$50.97	$66.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $129.40 / $129.40 / $129.40	Facility		$129.40	$129.40	$129.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.45 / $65.84 / $79.34	Professional		$29.45	$65.84	$79.34
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $95.10 / $181.15 / $264.58	Professional		$95.10	$181.15	$264.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.56 / $28.56 / $28.56	Professional		$28.56	$28.56	$28.56
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $33.01 / $78.84	Professional		$25.00	$33.01	$78.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.50 / $64.50 / $89.59	Professional		$64.50	$64.50	$89.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $103.92 / $161.06 / $340.43	Facility		$103.92	$161.06	$340.43
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $368.02 / $368.02 / $575.03	Professional		$368.02	$368.02	$575.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.48 / $71.67 / $72.70	Facility		$42.48	$71.67	$72.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.56 / $28.56 / $77.38	Professional		$28.56	$28.56	$77.38
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $135.26 / $135.26 / $135.26	Professional		$135.26	$135.26	$135.26
United Facility/Professional Professional Modifier Low / Median / High Price $27.45 / $29.69 / $80.58	Professional		$27.45	$29.69	$80.58