Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.42 / $78.86 / $95.01	Professional		$39.42	$78.86	$95.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $185.55 / $185.55 / $185.55	Facility		$185.55	$185.55	$185.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.90 / $105.65 / $127.29	Professional		$40.90	$105.65	$127.29
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $259.77 / $379.40	Professional		$100.00	$259.77	$379.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.83 / $45.83 / $45.83	Professional		$45.83	$45.83	$45.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $47.60 / $65.00 / $113.05	Professional		$47.60	$65.00	$113.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $92.49 / $92.49 / $133.00	Professional		$92.49	$92.49	$133.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $149.02 / $202.86 / $498.70	Facility		$149.02	$202.86	$498.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $537.12 / $537.12 / $798.45	Professional		$537.12	$537.12	$798.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $61.81 / $102.77 / $104.27	Facility		$61.81	$102.77	$104.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.83 / $45.83 / $120.43	Professional		$45.83	$45.83	$120.43
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $193.97 / $193.97 / $193.97	Professional		$193.97	$193.97	$193.97
United Facility/Professional Professional Modifier Low / Median / High Price $44.04 / $47.63 / $133.69	Professional		$44.04	$47.63	$133.69