Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.18 / $76.23 / $98.74	Professional		$38.18	$76.23	$98.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $176.60 / $176.60 / $176.60	Facility		$176.60	$176.60	$176.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.63 / $102.33 / $123.28	Professional		$40.63	$102.33	$123.28
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $247.24 / $361.11	Professional		$100.00	$247.24	$361.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.38 / $44.38 / $44.38	Professional		$44.38	$44.38	$44.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $52.37 / $107.59	Professional		$40.00	$52.37	$107.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $71.00 / $88.03 / $122.26	Professional		$71.00	$88.03	$122.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $141.82 / $198.05 / $493.12	Facility		$141.82	$198.05	$493.12
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $613.92 / $613.92 / $793.20	Professional		$613.92	$613.92	$793.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.82 / $97.81 / $99.23	Facility		$58.82	$97.81	$99.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.38 / $44.38 / $114.62	Professional		$44.38	$44.38	$114.62
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $184.61 / $184.61 / $184.61	Professional		$184.61	$184.61	$184.61
United Facility/Professional Professional Modifier Low / Median / High Price $42.65 / $46.13 / $126.78	Professional		$42.65	$46.13	$126.78