Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $88.89 / $117.93	Professional		$42.13	$88.89	$117.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $245.60 / $245.60 / $245.60	Facility		$245.60	$245.60	$245.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.01 / $112.92 / $136.03	Professional		$46.01	$112.92	$136.03
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $343.85 / $502.21	Professional		$100.00	$343.85	$502.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.97 / $48.97 / $48.97	Professional		$48.97	$48.97	$48.97
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $95.89 / $149.63	Professional		$40.00	$95.89	$149.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $110.00 / $122.43 / $170.04	Professional		$110.00	$122.43	$170.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $213.86 / $258.42 / $646.14	Facility		$213.86	$258.42	$646.14
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $794.30 / $813.38 / $898.28	Professional		$794.30	$813.38	$898.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.09 / $136.03 / $136.03	Facility		$72.09	$136.03	$136.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.97 / $48.97 / $147.54	Professional		$48.97	$48.97	$147.54
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $256.75 / $256.75 / $256.75	Professional		$256.75	$256.75	$256.75
United Facility/Professional Professional Modifier Low / Median / High Price $47.06 / $50.90 / $176.98	Professional		$47.06	$50.90	$176.98