Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.61 / $48.67 / $66.56	Professional		$24.61	$48.67	$66.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.63 / $107.63 / $107.63	Facility		$107.63	$107.63	$107.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.24 / $65.97 / $79.48	Professional		$26.24	$65.97	$79.48
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $79.09 / $150.66 / $220.05	Professional		$79.09	$150.66	$220.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $28.61 / $28.61	Professional		$28.61	$28.61	$28.61
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $59.61 / $65.00 / $71.53	Professional		$59.61	$65.00	$71.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $53.65 / $74.51	Professional		$48.00	$53.65	$74.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $92.19 / $161.34 / $301.86	Facility		$92.19	$161.34	$301.86
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $349.29 / $357.66 / $512.25	Professional		$349.29	$357.66	$512.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.84 / $59.61 / $65.56	Facility		$35.84	$59.61	$65.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $28.61 / $69.84	Professional		$28.61	$28.61	$69.84
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $112.50 / $112.50 / $112.50	Professional		$112.50	$112.50	$112.50
United Facility/Professional Professional Modifier Low / Median / High Price $27.49 / $29.74 / $77.55	Professional		$27.49	$29.74	$77.55