Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.44 / $86.69 / $124.39	Professional		$44.44	$86.69	$124.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $259.07 / $259.07 / $259.07	Facility		$259.07	$259.07	$259.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.99 / $119.11 / $143.49	Professional		$50.99	$119.11	$143.49
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $362.73 / $529.78	Professional		$100.00	$362.73	$529.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.66 / $51.66 / $51.66	Professional		$51.66	$51.66	$51.66
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $57.05 / $157.84	Professional		$25.00	$57.05	$157.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $129.13 / $179.36	Professional		$99.00	$129.13	$179.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $207.33 / $250.52 / $681.58	Facility		$207.33	$250.52	$681.58
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $714.58 / $714.58 / $995.33	Professional		$714.58	$714.58	$995.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $76.81 / $143.49 / $143.49	Facility		$76.81	$143.49	$143.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.66 / $51.66 / $149.22	Professional		$51.66	$51.66	$149.22
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $270.85 / $270.85 / $270.85	Professional		$270.85	$270.85	$270.85
United Facility/Professional Professional Modifier Low / Median / High Price $49.64 / $53.69 / $172.19	Professional		$49.64	$53.69	$172.19