Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.41 / $43.66 / $63.09	Professional		$25.41	$43.66	$63.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $126.87 / $126.87 / $126.87	Facility		$126.87	$126.87	$126.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.98 / $68.11 / $82.05	Professional		$26.98	$68.11	$82.05
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $93.23 / $177.60 / $259.38	Professional		$93.23	$177.60	$259.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.54 / $29.54 / $29.54	Professional		$29.54	$29.54	$29.54
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $29.39 / $40.00 / $77.30	Professional		$29.39	$40.00	$77.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.24 / $63.24 / $87.84	Professional		$63.24	$63.24	$87.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $101.89 / $127.57 / $333.78	Facility		$101.89	$127.57	$333.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $393.84 / $393.84 / $615.38	Professional		$393.84	$393.84	$615.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.26 / $70.27 / $71.06	Facility		$42.26	$70.27	$71.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.54 / $29.54 / $89.64	Professional		$29.54	$29.54	$89.64
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $132.61 / $132.61 / $132.61	Professional		$132.61	$132.61	$132.61
United Facility/Professional Professional Modifier Low / Median / High Price $28.39 / $30.70 / $77.30	Professional		$28.39	$30.70	$77.30