Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.32 / $68.64 / $77.14	Professional		$32.32	$68.64	$77.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.37 / $154.37 / $154.37	Facility		$154.37	$154.37	$154.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.85 / $86.62 / $104.35	Professional		$32.85	$86.62	$104.35
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $216.14 / $315.68	Professional		$100.00	$216.14	$315.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.57 / $37.57 / $37.57	Professional		$37.57	$37.57	$37.57
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $85.50 / $94.05 / $102.60	Professional		$85.50	$94.05	$102.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $76.95 / $76.95 / $106.88	Professional		$76.95	$76.95	$106.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $123.98 / $177.91 / $408.00	Facility		$123.98	$177.91	$408.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $441.23 / $441.23 / $641.25	Professional		$441.23	$441.23	$641.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.43 / $85.50 / $88.07	Facility		$51.43	$85.50	$88.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.57 / $37.57 / $100.20	Professional		$37.57	$37.57	$100.20
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $161.38 / $161.38 / $161.38	Professional		$161.38	$161.38	$161.38
United Facility/Professional Professional Modifier Low / Median / High Price $36.11 / $39.04 / $111.25	Professional		$36.11	$39.04	$111.25