Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.59 / $63.57 / $86.94	Professional		$32.59	$63.57	$86.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $142.49 / $142.49 / $142.49	Facility		$142.49	$142.49	$142.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.84 / $87.34 / $105.23	Professional		$35.84	$87.34	$105.23
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $199.48 / $291.35	Professional		$100.00	$199.48	$291.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.88 / $37.88 / $37.88	Professional		$37.88	$37.88	$37.88
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $42.60 / $86.81	Professional		$40.00	$42.60	$86.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $71.00 / $71.03 / $98.65	Professional		$71.00	$71.03	$98.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $117.64 / $169.44 / $409.12	Facility		$117.64	$169.44	$409.12
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $509.35 / $509.35 / $755.93	Professional		$509.35	$509.35	$755.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.46 / $78.92 / $85.04	Facility		$47.46	$78.92	$85.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.88 / $37.88 / $98.98	Professional		$37.88	$37.88	$98.98
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $148.94 / $148.94 / $148.94	Professional		$148.94	$148.94	$148.94
United Facility/Professional Professional Modifier Low / Median / High Price $36.40 / $39.36 / $79.62	Professional		$36.40	$39.36	$79.62