Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.61 / $75.15 / $91.35	Professional		$37.61	$75.15	$91.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $190.26 / $190.26 / $190.26	Facility		$190.26	$190.26	$190.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.34 / $100.82 / $121.47	Professional		$39.34	$100.82	$121.47
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $266.33 / $388.99	Professional		$100.00	$266.33	$388.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.73 / $43.73 / $43.73	Professional		$43.73	$43.73	$43.73
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $47.60 / $65.00 / $115.92	Professional		$47.60	$65.00	$115.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $94.84 / $94.84 / $131.72	Professional		$94.84	$94.84	$131.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $152.80 / $185.99 / $500.56	Facility		$152.80	$185.99	$500.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $510.29 / $510.29 / $797.33	Professional		$510.29	$510.29	$797.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.36 / $105.38 / $105.38	Facility		$63.36	$105.38	$105.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.73 / $43.73 / $118.45	Professional		$43.73	$43.73	$118.45
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $198.87 / $198.87 / $198.87	Professional		$198.87	$198.87	$198.87
United Facility/Professional Professional Modifier Low / Median / High Price $42.02 / $45.45 / $147.76	Professional		$42.02	$45.45	$147.76