Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.68 / $68.04 / $90.49	Professional		$33.68	$68.04	$90.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.29 / $147.29 / $147.29	Facility		$147.29	$147.29	$147.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.08 / $90.29 / $108.77	Professional		$41.08	$90.29	$108.77
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $206.20 / $301.17	Professional		$100.00	$206.20	$301.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.15 / $39.15 / $39.15	Professional		$39.15	$39.15	$39.15
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $29.90 / $89.74	Professional		$25.00	$29.90	$89.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $73.42 / $101.98	Professional		$70.00	$73.42	$101.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $149.01 / $213.37 / $438.24	Facility		$149.01	$213.37	$438.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $538.41 / $538.41 / $815.78	Professional		$538.41	$538.41	$815.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $49.06 / $81.58 / $95.25	Facility		$49.06	$81.58	$95.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.15 / $39.15 / $95.60	Professional		$39.15	$39.15	$95.60
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $153.97 / $153.97 / $153.97	Professional		$153.97	$153.97	$153.97
United Facility/Professional Professional Modifier Low / Median / High Price $37.63 / $40.70 / $106.13	Professional		$37.63	$40.70	$106.13