Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.72 / $59.37 / $79.78	Professional		$29.72	$59.37	$79.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $166.18 / $166.18 / $166.18	Facility		$166.18	$166.18	$166.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.91 / $79.66 / $95.97	Professional		$30.91	$79.66	$95.97
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $232.65 / $339.79	Professional		$100.00	$232.65	$339.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.54 / $34.54 / $34.54	Professional		$34.54	$34.54	$34.54
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $38.47 / $40.00 / $101.24	Professional		$38.47	$40.00	$101.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $73.00 / $82.84 / $115.05	Professional		$73.00	$82.84	$115.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $133.46 / $146.12 / $437.19	Facility		$133.46	$146.12	$437.19
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $441.79 / $441.79 / $667.13	Professional		$441.79	$441.79	$667.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.01 / $92.04 / $92.04	Facility		$50.01	$92.04	$92.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.54 / $34.54 / $103.00	Professional		$34.54	$34.54	$103.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $173.72 / $173.72 / $173.72	Professional		$173.72	$173.72	$173.72
United Facility/Professional Professional Modifier Low / Median / High Price $33.20 / $35.90 / $119.75	Professional		$33.20	$35.90	$119.75