Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.01 / $26.48 / $48.69	Professional		$21.01	$26.48	$48.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.36 / $56.33 / $67.87	Professional		$21.36	$56.33	$67.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $73.78 / $140.57 / $205.31	Professional		$73.78	$140.57	$205.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.43 / $24.43 / $24.43	Professional		$24.43	$24.43	$24.43
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $55.61 / $61.17 / $66.73	Professional		$55.61	$61.17	$66.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $49.00 / $50.05 / $69.51	Professional		$49.00	$50.05	$69.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.63 / $115.69 / $265.36	Facility		$80.63	$115.69	$265.36
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $287.05 / $287.05 / $417.08	Professional		$287.05	$287.05	$417.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.44 / $55.61 / $57.28	Facility		$33.44	$55.61	$57.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.43 / $24.43 / $65.17	Professional		$24.43	$24.43	$65.17
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $104.96 / $104.96 / $104.96	Professional		$104.96	$104.96	$104.96
United Facility/Professional Professional Modifier Low / Median / High Price $23.48 / $25.40 / $72.34	Professional		$23.48	$25.40	$72.34