Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.25 / $48.39 / $67.27	Professional		$24.25	$48.39	$67.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $110.84 / $110.84 / $110.84	Facility		$110.84	$110.84	$110.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.52 / $69.13 / $78.29	Professional		$27.52	$69.13	$78.29
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $81.45 / $155.16 / $226.62	Professional		$81.45	$155.16	$226.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.19 / $28.19 / $28.19	Professional		$28.19	$28.19	$28.19
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $37.34 / $67.53	Professional		$25.00	$37.34	$67.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $55.25 / $76.73	Professional		$45.00	$55.25	$76.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $89.09 / $130.08 / $308.83	Facility		$89.09	$130.08	$308.83
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $375.79 / $375.79 / $587.17	Professional		$375.79	$375.79	$587.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.90 / $61.39 / $67.27	Facility		$36.90	$61.39	$67.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.19 / $28.19 / $71.75	Professional		$28.19	$28.19	$71.75
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $115.86 / $115.86 / $115.86	Professional		$115.86	$115.86	$115.86
United Facility/Professional Professional Modifier Low / Median / High Price $27.08 / $29.30 / $79.56	Professional		$27.08	$29.30	$79.56