Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.77 / $85.77 / $122.54	Professional		$43.77	$85.77	$122.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $255.21 / $255.21 / $255.21	Facility		$255.21	$255.21	$255.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.59 / $117.33 / $141.35	Professional		$44.59	$117.33	$141.35
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $357.32 / $521.88	Professional		$100.00	$357.32	$521.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.89 / $50.89 / $50.89	Professional		$50.89	$50.89	$50.89
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $75.56 / $155.49	Professional		$40.00	$75.56	$155.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $127.22 / $176.69	Professional		$125.00	$127.22	$176.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $237.80 / $287.42 / $671.41	Facility		$237.80	$287.42	$671.41
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $908.69 / $930.51 / $930.51	Professional		$908.69	$930.51	$930.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.68 / $141.35 / $141.35	Facility		$75.68	$141.35	$141.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.89 / $50.89 / $136.25	Professional		$50.89	$50.89	$136.25
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $266.81 / $266.81 / $266.81	Professional		$266.81	$266.81	$266.81
United Facility/Professional Professional Modifier Low / Median / High Price $48.90 / $52.89 / $158.31	Professional		$48.90	$52.89	$158.31