Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.52 / $72.68 / $105.03	Professional		$37.52	$72.68	$105.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $218.75 / $218.75 / $218.75	Facility		$218.75	$218.75	$218.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.88 / $100.57 / $121.16	Professional		$38.88	$100.57	$121.16
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $306.25 / $447.29	Professional		$100.00	$306.25	$447.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.62 / $43.62 / $43.62	Professional		$43.62	$43.62	$43.62
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $65.00 / $133.28	Professional		$25.00	$65.00	$133.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $98.00 / $109.04 / $151.44	Professional		$98.00	$109.04	$151.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $185.98 / $224.77 / $575.51	Facility		$185.98	$224.77	$575.51
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $710.69 / $727.74 / $758.85	Professional		$710.69	$727.74	$758.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $65.09 / $121.16 / $121.16	Facility		$65.09	$121.16	$121.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.62 / $43.62 / $130.47	Professional		$43.62	$43.62	$130.47
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $228.67 / $228.67 / $228.67	Professional		$228.67	$228.67	$228.67
United Facility/Professional Professional Modifier Low / Median / High Price $41.92 / $45.34 / $127.73	Professional		$41.92	$45.34	$127.73