Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.29 / $72.93 / $94.15	Professional		$35.29	$72.93	$94.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $166.30 / $166.30 / $166.30	Facility		$166.30	$166.30	$166.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.11 / $96.87 / $113.97	Professional		$37.11	$96.87	$113.97
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $232.83 / $340.06	Professional		$100.00	$232.83	$340.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.03 / $41.03 / $41.03	Professional		$41.03	$41.03	$41.03
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $51.64 / $101.32	Professional		$40.00	$51.64	$101.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $82.90 / $115.14	Professional		$65.00	$82.90	$115.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $133.56 / $184.83 / $445.63	Facility		$133.56	$184.83	$445.63
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $466.39 / $466.39 / $724.65	Professional		$466.39	$466.39	$724.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $55.39 / $92.11 / $95.85	Facility		$55.39	$92.11	$95.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.03 / $41.03 / $107.94	Professional		$41.03	$41.03	$107.94
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $173.85 / $173.85 / $173.85	Professional		$173.85	$173.85	$173.85
United Facility/Professional Professional Modifier Low / Median / High Price $39.43 / $42.65 / $123.24	Professional		$39.43	$42.65	$123.24