Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.66 / $60.88 / $66.77	Professional		$28.66	$60.88	$66.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $136.97 / $136.97 / $136.97	Facility		$136.97	$136.97	$136.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.14 / $76.83 / $92.56	Professional		$29.14	$76.83	$92.56
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $191.73 / $280.02	Professional		$100.00	$191.73	$280.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.32 / $33.32 / $33.32	Professional		$33.32	$33.32	$33.32
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $83.45 / $91.03	Professional		$75.86	$83.45	$91.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $68.27 / $68.27 / $94.83	Professional		$68.27	$68.27	$94.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $110.00 / $157.75 / $361.86	Facility		$110.00	$157.75	$361.86
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $391.18 / $391.18 / $568.95	Professional		$391.18	$391.18	$568.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.61 / $75.86 / $78.12	Facility		$45.61	$75.86	$78.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.32 / $33.32 / $88.90	Professional		$33.32	$33.32	$88.90
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $143.16 / $143.16 / $143.16	Professional		$143.16	$143.16	$143.16
United Facility/Professional Professional Modifier Low / Median / High Price $32.60 / $36.65 / $112.59	Professional		$32.60	$36.65	$112.59