Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.13 / $63.03 / $78.73	Professional		$31.13	$63.03	$78.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $155.38 / $155.38 / $155.38	Facility		$155.38	$155.38	$155.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.96 / $83.43 / $100.52	Professional		$35.96	$83.43	$100.52
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $217.51 / $317.68	Professional		$100.00	$217.51	$317.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.19 / $36.19 / $36.19	Professional		$36.19	$36.19	$36.19
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $44.17 / $94.67	Professional		$40.00	$44.17	$94.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $77.45 / $107.58	Professional		$60.00	$77.45	$107.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $124.79 / $175.92 / $408.79	Facility		$124.79	$175.92	$408.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $449.23 / $449.23 / $701.93	Professional		$449.23	$449.23	$701.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.74 / $86.06 / $87.29	Facility		$51.74	$86.06	$87.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.19 / $36.19 / $96.03	Professional		$36.19	$36.19	$96.03
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $162.41 / $162.41 / $162.41	Professional		$162.41	$162.41	$162.41
United Facility/Professional Professional Modifier Low / Median / High Price $34.77 / $37.61 / $103.27	Professional		$34.77	$37.61	$103.27