Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.64 / $50.01 / $66.27	Professional		$25.64	$50.01	$66.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.01 / $138.01 / $138.01	Facility		$138.01	$138.01	$138.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.79 / $68.70 / $82.77	Professional		$27.79	$68.70	$82.77
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $193.22 / $282.20	Professional		$100.00	$193.22	$282.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.80 / $29.80 / $29.80	Professional		$29.80	$29.80	$29.80
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $29.76 / $40.00 / $84.08	Professional		$29.76	$40.00	$84.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $68.80 / $95.55	Professional		$63.00	$68.80	$95.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $110.84 / $131.38 / $363.09	Facility		$110.84	$131.38	$363.09
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $397.30 / $397.30 / $620.78	Professional		$397.30	$397.30	$620.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.92 / $76.44 / $76.44	Facility		$44.92	$76.44	$76.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.80 / $29.80 / $89.58	Professional		$29.80	$29.80	$89.58
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $144.28 / $144.28 / $144.28	Professional		$144.28	$144.28	$144.28
United Facility/Professional Professional Modifier Low / Median / High Price $28.63 / $30.97 / $99.08	Professional		$28.63	$30.97	$99.08