Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.13 / $74.65 / $101.10	Professional		$38.13	$74.65	$101.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $193.22 / $193.22 / $193.22	Facility		$193.22	$193.22	$193.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.54 / $102.19 / $123.12	Professional		$37.54	$102.19	$123.12
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $270.50 / $395.07	Professional		$100.00	$270.50	$395.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.32 / $44.32 / $44.32	Professional		$44.32	$44.32	$44.32
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $46.42 / $65.00 / $117.72	Professional		$46.42	$65.00	$117.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $96.32 / $96.32 / $133.78	Professional		$96.32	$96.32	$133.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $166.51 / $213.88 / $508.35	Facility		$166.51	$213.88	$508.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $601.62 / $601.62 / $733.05	Professional		$601.62	$601.62	$733.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.36 / $107.02 / $119.29	Facility		$64.36	$107.02	$119.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.32 / $44.32 / $118.45	Professional		$44.32	$44.32	$118.45
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $201.98 / $201.98 / $201.98	Professional		$201.98	$201.98	$201.98
United Facility/Professional Professional Modifier Low / Median / High Price $42.59 / $46.07 / $154.58	Professional		$42.59	$46.07	$154.58