Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.78 / $61.99 / $84.24	Professional		$31.78	$61.99	$84.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $175.44 / $175.44 / $175.44	Facility		$175.44	$175.44	$175.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.90 / $85.17 / $102.61	Professional		$37.90	$85.17	$102.61
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $245.63 / $358.75	Professional		$100.00	$245.63	$358.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.94 / $36.94 / $36.94	Professional		$36.94	$36.94	$36.94
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $60.00 / $106.89	Professional		$40.00	$60.00	$106.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.00 / $87.45 / $121.46	Professional		$87.00	$87.45	$121.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $140.90 / $179.11 / $461.56	Facility		$140.90	$179.11	$461.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $492.53 / $492.53 / $769.58	Professional		$492.53	$492.53	$769.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.56 / $97.17 / $97.17	Facility		$56.56	$97.17	$97.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.94 / $36.94 / $110.99	Professional		$36.94	$36.94	$110.99
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $183.41 / $183.41 / $183.41	Professional		$183.41	$183.41	$183.41
United Facility/Professional Professional Modifier Low / Median / High Price $35.50 / $38.39 / $126.43	Professional		$35.50	$38.39	$126.43