Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.97 / $58.84 / $68.34	Professional		$28.97	$58.84	$68.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.27 / $138.27 / $138.27	Facility		$138.27	$138.27	$138.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.70 / $77.66 / $93.56	Professional		$31.70	$77.66	$93.56
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $193.59 / $282.74	Professional		$100.00	$193.59	$282.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.68 / $33.68 / $33.68	Professional		$33.68	$33.68	$33.68
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $43.91 / $84.24	Professional		$40.00	$43.91	$84.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $68.92 / $68.92 / $95.73	Professional		$68.92	$68.92	$95.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $111.04 / $149.87 / $365.84	Facility		$111.04	$149.87	$365.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $444.72 / $444.72 / $694.88	Professional		$444.72	$444.72	$694.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.06 / $76.58 / $77.70	Facility		$46.06	$76.58	$77.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.68 / $33.68 / $91.46	Professional		$33.68	$33.68	$91.46
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $144.55 / $144.55 / $144.55	Professional		$144.55	$144.55	$144.55
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $35.01 / $97.39	Professional		$32.36	$35.01	$97.39