Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.32 / $58.11 / $72.43	Professional		$28.32	$58.11	$72.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $150.85 / $150.85 / $150.85	Facility		$150.85	$150.85	$150.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.46 / $75.90 / $91.44	Professional		$31.46	$75.90	$91.44
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $211.19 / $308.45	Professional		$100.00	$211.19	$308.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.92 / $32.92 / $32.92	Professional		$32.92	$32.92	$32.92
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $36.40 / $40.00 / $91.91	Professional		$36.40	$40.00	$91.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $75.20 / $104.44	Professional		$70.00	$75.20	$104.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $121.15 / $148.69 / $396.86	Facility		$121.15	$148.69	$396.86
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $413.57 / $413.57 / $646.20	Professional		$413.57	$413.57	$646.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $48.96 / $83.55 / $83.55	Facility		$48.96	$83.55	$83.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.92 / $32.92 / $97.91	Professional		$32.92	$32.92	$97.91
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $157.69 / $157.69 / $157.69	Professional		$157.69	$157.69	$157.69
United Facility/Professional Professional Modifier Low / Median / High Price $31.63 / $34.21 / $108.70	Professional		$31.63	$34.21	$108.70