Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.34 / $72.45 / $98.37	Professional		$36.34	$72.45	$98.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.87 / $204.87 / $204.87	Facility		$204.87	$204.87	$204.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.64 / $97.41 / $117.35	Professional		$38.64	$97.41	$117.35
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $286.82 / $418.91	Professional		$100.00	$286.82	$418.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.25 / $42.25 / $42.25	Professional		$42.25	$42.25	$42.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $113.47 / $136.16	Professional		$25.00	$113.47	$136.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $102.12 / $141.84	Professional		$79.43	$102.12	$141.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $164.53 / $234.02 / $538.98	Facility		$164.53	$234.02	$538.98
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $558.77 / $572.17 / $754.35	Professional		$558.77	$572.17	$754.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.69 / $113.47 / $115.14	Facility		$64.69	$113.47	$115.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.25 / $42.25 / $116.57	Professional		$42.25	$42.25	$116.57
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $214.17 / $214.17 / $214.17	Professional		$214.17	$214.17	$214.17
United Facility/Professional Professional Modifier Low / Median / High Price $40.60 / $43.91 / $168.44	Professional		$40.60	$43.91	$168.44