Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.69 / $53.83 / $74.12	Professional		$27.69	$53.83	$74.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.37 / $154.37 / $154.37	Facility		$154.37	$154.37	$154.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.01 / $74.23 / $89.42	Professional		$29.01	$74.23	$89.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $216.14 / $315.68	Professional		$100.00	$216.14	$315.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.19 / $32.19 / $32.19	Professional		$32.19	$32.19	$32.19
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $36.38 / $40.00 / $94.05	Professional		$36.38	$40.00	$94.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $59.00 / $76.95 / $106.88	Professional		$59.00	$76.95	$106.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $122.80 / $136.68 / $406.13	Facility		$122.80	$136.68	$406.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $426.48 / $426.48 / $666.38	Professional		$426.48	$426.48	$666.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.52 / $85.50 / $85.50	Facility		$47.52	$85.50	$85.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.19 / $32.19 / $100.20	Professional		$32.19	$32.19	$100.20
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $161.38 / $161.38 / $161.38	Professional		$161.38	$161.38	$161.38
United Facility/Professional Professional Modifier Low / Median / High Price $30.94 / $33.46 / $90.15	Professional		$30.94	$33.46	$90.15