Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.28 / $52.71 / $65.05	Professional		$25.28	$52.71	$65.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $130.65 / $130.65 / $130.65	Facility		$130.65	$130.65	$130.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.35 / $67.73 / $81.62	Professional		$31.35	$67.73	$81.62
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $96.00 / $182.92 / $267.14	Professional		$96.00	$182.92	$267.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.38 / $29.38 / $29.38	Professional		$29.38	$29.38	$29.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $25.74 / $79.59	Professional		$25.00	$25.74	$79.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $65.12 / $65.12 / $90.45	Professional		$65.12	$65.12	$90.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $104.92 / $157.65 / $343.71	Facility		$104.92	$157.65	$343.71
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $391.78 / $391.78 / $612.15	Professional		$391.78	$391.78	$612.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.52 / $72.36 / $73.41	Facility		$43.52	$72.36	$73.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.38 / $29.38 / $71.75	Professional		$29.38	$29.38	$71.75
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $136.58 / $136.58 / $136.58	Professional		$136.58	$136.58	$136.58
United Facility/Professional Professional Modifier Low / Median / High Price $28.24 / $30.54 / $94.15	Professional		$28.24	$30.54	$94.15