Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.07 / $43.63 / $60.56	Professional		$22.07	$43.63	$60.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $96.49 / $96.49 / $96.49	Facility		$96.49	$96.49	$96.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $59.14 / $71.25	Professional		$25.70	$59.14	$71.25
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $70.90 / $135.07 / $197.27	Professional		$70.90	$135.07	$197.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.65 / $25.65 / $25.65	Professional		$25.65	$25.65	$25.65
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $53.44 / $64.13	Professional		$40.00	$53.44	$64.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.00 / $48.10 / $66.80	Professional		$37.00	$48.10	$66.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $84.54 / $121.48 / $285.00	Facility		$84.54	$121.48	$285.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $354.83 / $354.83 / $502.95	Professional		$354.83	$354.83	$502.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.14 / $53.44 / $60.56	Facility		$32.14	$53.44	$60.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.65 / $25.65 / $62.63	Professional		$25.65	$25.65	$62.63
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $100.85 / $100.85 / $100.85	Professional		$100.85	$100.85	$100.85
United Facility/Professional Professional Modifier Low / Median / High Price $24.65 / $26.66 / $58.78	Professional		$24.65	$26.66	$58.78