Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.87 / $87.87 / $109.09	Professional		$87.87	$87.87	$109.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $260.68 / $356.65 / $427.30	Professional		$260.68	$356.65	$427.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $275.00 / $275.00	Professional		$275.00	$275.00	$275.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $283.26 / $638.07 / $801.00	Professional		$283.26	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $198.18 / $201.68 / $372.36	Facility		$198.18	$201.68	$372.36
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $406.95 / $523.28 / $523.28	Professional		$406.95	$523.28	$523.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $62.37 / $109.08 / $109.08	Professional		$62.37	$109.08	$109.08
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $238.81 / $238.81 / $257.22	Professional		$238.81	$238.81	$257.22