Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.80 / $53.63 / $67.25	Professional		$26.80	$53.63	$67.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $140.07 / $140.07 / $140.07	Facility		$140.07	$140.07	$140.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.60 / $71.81 / $86.53	Professional		$28.60	$71.81	$86.53
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $196.08 / $286.38	Professional		$100.00	$196.08	$286.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.15 / $31.15 / $31.15	Professional		$31.15	$31.15	$31.15
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $29.77 / $40.00 / $85.34	Professional		$29.77	$40.00	$85.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $69.81 / $96.98	Professional		$66.00	$69.81	$96.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $112.49 / $135.18 / $368.51	Facility		$112.49	$135.18	$368.51
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $407.81 / $407.81 / $637.20	Professional		$407.81	$407.81	$637.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.27 / $77.58 / $77.58	Facility		$46.27	$77.58	$77.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.15 / $31.15 / $90.91	Professional		$31.15	$31.15	$90.91
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $146.41 / $146.41 / $146.41	Professional		$146.41	$146.41	$146.41
United Facility/Professional Professional Modifier Low / Median / High Price $29.93 / $32.38 / $108.78	Professional		$29.93	$32.38	$108.78