Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.71 / $42.06 / $60.78	Professional		$21.71	$42.06	$60.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $126.57 / $126.57 / $126.57	Facility		$126.57	$126.57	$126.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.11 / $58.19 / $70.09	Professional		$23.11	$58.19	$70.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $93.02 / $177.20 / $258.81	Professional		$93.02	$177.20	$258.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.24 / $25.24 / $25.24	Professional		$25.24	$25.24	$25.24
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $70.09 / $77.11 / $84.12	Professional		$70.09	$77.11	$84.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.00 / $63.09 / $87.63	Professional		$56.00	$63.09	$87.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $104.96 / $126.92 / $332.98	Facility		$104.96	$126.92	$332.98
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $401.09 / $410.72 / $454.43	Professional		$401.09	$410.72	$454.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.22 / $70.09 / $70.09	Facility		$38.22	$70.09	$70.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.24 / $25.24 / $75.83	Professional		$25.24	$25.24	$75.83
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $132.31 / $132.31 / $132.31	Professional		$132.31	$132.31	$132.31
United Facility/Professional Professional Modifier Low / Median / High Price $24.25 / $26.23 / $89.38	Professional		$24.25	$26.23	$89.38