Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.79 / $72.15 / $103.73	Professional		$37.79	$72.15	$103.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $189.60 / $189.60 / $189.60	Facility		$189.60	$189.60	$189.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.15 / $101.30 / $122.04	Professional		$39.15	$101.30	$122.04
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $265.45 / $387.70	Professional		$100.00	$265.45	$387.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.93 / $43.93 / $43.93	Professional		$43.93	$43.93	$43.93
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $42.60 / $115.51	Professional		$40.00	$42.60	$115.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $73.00 / $94.51 / $131.26	Professional		$73.00	$94.51	$131.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $152.26 / $188.34 / $498.80	Facility		$152.26	$188.34	$498.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $607.76 / $607.76 / $764.63	Professional		$607.76	$607.76	$764.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.14 / $105.01 / $106.54	Facility		$63.14	$105.01	$106.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.93 / $43.93 / $121.48	Professional		$43.93	$43.93	$121.48
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $198.21 / $198.21 / $198.21	Professional		$198.21	$198.21	$198.21
United Facility/Professional Professional Modifier Low / Median / High Price $42.22 / $45.66 / $126.01	Professional		$42.22	$45.66	$126.01