Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.72 / $78.56 / $106.72	Professional		$39.72	$78.56	$106.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.61 / $177.61 / $177.61	Facility		$177.61	$177.61	$177.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.32 / $106.49 / $128.30	Professional		$41.32	$106.49	$128.30
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $248.67 / $363.19	Professional		$100.00	$248.67	$363.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.19 / $46.19 / $46.19	Professional		$46.19	$46.19	$46.19
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $55.36 / $65.00 / $108.21	Professional		$55.36	$65.00	$108.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $73.00 / $88.53 / $122.96	Professional		$73.00	$88.53	$122.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $175.77 / $195.33 / $503.15	Facility		$175.77	$195.33	$503.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $635.09 / $635.09 / $827.40	Professional		$635.09	$635.09	$827.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $59.16 / $98.37 / $112.34	Facility		$59.16	$98.37	$112.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $46.19 / $46.19 / $115.27	Professional		$46.19	$46.19	$115.27
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $185.68 / $185.68 / $185.68	Professional		$185.68	$185.68	$185.68
United Facility/Professional Professional Modifier Low / Median / High Price $44.38 / $48.01 / $115.96	Professional		$44.38	$48.01	$115.96