Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.29 / $67.11 / $84.33	Professional		$33.29	$67.11	$84.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $175.64 / $175.64 / $175.64	Facility		$175.64	$175.64	$175.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.93 / $89.25 / $107.53	Professional		$35.93	$89.25	$107.53
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $245.91 / $359.15	Professional		$100.00	$245.91	$359.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.71 / $38.71 / $38.71	Professional		$38.71	$38.71	$38.71
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $50.21 / $65.00 / $107.01	Professional		$50.21	$65.00	$107.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $87.55 / $121.60	Professional		$85.00	$87.55	$121.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $141.06 / $169.81 / $462.08	Facility		$141.06	$169.81	$462.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $500.06 / $500.06 / $781.35	Professional		$500.06	$500.06	$781.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.67 / $97.28 / $97.28	Facility		$57.67	$97.28	$97.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.71 / $38.71 / $114.00	Professional		$38.71	$38.71	$114.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $183.62 / $183.62 / $183.62	Professional		$183.62	$183.62	$183.62
United Facility/Professional Professional Modifier Low / Median / High Price $37.20 / $40.24 / $120.43	Professional		$37.20	$40.24	$120.43