Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.83 / $67.02 / $81.29	Professional		$31.83	$67.02	$81.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.30 / $169.30 / $169.30	Facility		$169.30	$169.30	$169.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.51 / $85.31 / $102.78	Professional		$35.51	$85.31	$102.78
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $237.03 / $346.19	Professional		$100.00	$237.03	$346.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.00 / $37.00 / $37.00	Professional		$37.00	$37.00	$37.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $42.59 / $65.00 / $103.15	Professional		$42.59	$65.00	$103.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $84.39 / $84.39 / $214.00	Professional		$84.39	$84.39	$214.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $135.97 / $167.86 / $445.41	Facility		$135.97	$167.86	$445.41
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $463.78 / $463.78 / $724.65	Professional		$463.78	$463.78	$724.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $55.62 / $93.77 / $93.77	Facility		$55.62	$93.77	$93.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.00 / $37.00 / $109.88	Professional		$37.00	$37.00	$109.88
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $176.99 / $176.99 / $176.99	Professional		$176.99	$176.99	$176.99
United Facility/Professional Professional Modifier Low / Median / High Price $35.56 / $38.45 / $102.68	Professional		$35.56	$38.45	$102.68