Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.97 / $52.39 / $70.22	Professional		$25.97	$52.39	$70.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $113.53 / $113.53 / $113.53	Facility		$113.53	$113.53	$113.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.66 / $69.58 / $83.84	Professional		$31.66	$69.58	$83.84
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $83.43 / $158.93 / $232.12	Professional		$83.43	$158.93	$232.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.18 / $30.18 / $30.18	Professional		$30.18	$30.18	$30.18
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $14.31 / $65.00 / $69.17	Professional		$14.31	$65.00	$69.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.59 / $56.59 / $78.59	Professional		$56.59	$56.59	$78.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $114.86 / $170.20 / $338.18	Facility		$114.86	$170.20	$338.18
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $415.01 / $415.01 / $628.79	Professional		$415.01	$415.01	$628.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.82 / $62.88 / $73.41	Facility		$37.82	$62.88	$73.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.18 / $30.18 / $83.39	Professional		$30.18	$30.18	$83.39
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $118.67 / $118.67 / $118.67	Professional		$118.67	$118.67	$118.67
United Facility/Professional Professional Modifier Low / Median / High Price $29.00 / $31.37 / $81.80	Professional		$29.00	$31.37	$81.80