Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.89 / $35.72 / $47.99	Professional		$17.89	$35.72	$47.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.18 / $91.18 / $91.18	Facility		$91.18	$91.18	$91.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.20 / $47.96 / $57.79	Professional		$22.20	$47.96	$57.79
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $67.01 / $127.65 / $186.44	Professional		$67.01	$127.65	$186.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.80 / $20.80 / $20.80	Professional		$20.80	$20.80	$20.80
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $14.31 / $40.00 / $55.55	Professional		$14.31	$40.00	$55.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.45 / $45.45 / $65.00	Professional		$45.45	$45.45	$65.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $107.91 / $239.88	Facility		$80.00	$107.91	$239.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $279.63 / $279.63 / $433.43	Professional		$279.63	$279.63	$433.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.38 / $50.50 / $56.30	Facility		$30.38	$50.50	$56.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.80 / $20.80 / $58.93	Professional		$20.80	$20.80	$58.93
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $95.31 / $95.31 / $95.31	Professional		$95.31	$95.31	$95.31
United Facility/Professional Professional Modifier Low / Median / High Price $19.98 / $21.62 / $70.81	Professional		$19.98	$21.62	$70.81