Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.00 / $64.44 / $74.86	Professional		$32.00	$64.44	$74.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $155.91 / $155.91 / $155.91	Facility		$155.91	$155.91	$155.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.74 / $85.77 / $103.33	Professional		$34.74	$85.77	$103.33
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $218.30 / $318.83	Professional		$100.00	$218.30	$318.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.20 / $37.20 / $37.20	Professional		$37.20	$37.20	$37.20
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $49.81 / $95.00	Professional		$40.00	$49.81	$95.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.45 / $77.72 / $107.95	Professional		$60.45	$77.72	$107.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $125.22 / $171.54 / $410.21	Facility		$125.22	$171.54	$410.21
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $434.11 / $434.11 / $678.30	Professional		$434.11	$434.11	$678.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.93 / $86.36 / $87.60	Facility		$51.93	$86.36	$87.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.20 / $37.20 / $101.21	Professional		$37.20	$37.20	$101.21
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $163.00 / $163.00 / $163.00	Professional		$163.00	$163.00	$163.00
United Facility/Professional Professional Modifier Low / Median / High Price $35.75 / $38.65 / $124.76	Professional		$35.75	$38.65	$124.76