Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.59 / $76.56 / $94.52	Professional		$38.59	$76.56	$94.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $176.18 / $176.18 / $176.18	Facility		$176.18	$176.18	$176.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.13 / $103.42 / $124.60	Professional		$40.13	$103.42	$124.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $246.67 / $360.26	Professional		$100.00	$246.67	$360.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.86 / $44.86 / $44.86	Professional		$44.86	$44.86	$44.86
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $55.10 / $65.00 / $107.34	Professional		$55.10	$65.00	$107.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $87.82 / $121.98	Professional		$84.00	$87.82	$121.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $146.52 / $189.70 / $486.44	Facility		$146.52	$189.70	$486.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $529.40 / $529.40 / $806.18	Professional		$529.40	$529.40	$806.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.67 / $97.58 / $106.95	Facility		$58.67	$97.58	$106.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.86 / $44.86 / $114.35	Professional		$44.86	$44.86	$114.35
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $184.18 / $184.18 / $184.18	Professional		$184.18	$184.18	$184.18
United Facility/Professional Professional Modifier Low / Median / High Price $43.10 / $46.62 / $126.96	Professional		$43.10	$46.62	$126.96