Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.13 / $97.10 / $115.40	Professional		$50.13	$97.10	$115.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $235.76 / $235.76 / $235.76	Facility		$235.76	$235.76	$235.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.71 / $134.36 / $161.88	Professional		$55.71	$134.36	$161.88
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $330.05 / $482.05	Professional		$100.00	$330.05	$482.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.28 / $58.28 / $58.28	Professional		$58.28	$58.28	$58.28
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $130.58 / $156.69	Professional		$40.00	$130.58	$156.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $92.00 / $117.52 / $163.22	Professional		$92.00	$117.52	$163.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $189.34 / $263.35 / $635.54	Facility		$189.34	$263.35	$635.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $747.84 / $747.84 / $1,168.50	Professional		$747.84	$747.84	$1,168.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $78.53 / $130.58 / $137.03	Facility		$78.53	$130.58	$137.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.28 / $58.28 / $153.02	Professional		$58.28	$58.28	$153.02
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $246.45 / $246.45 / $246.45	Professional		$246.45	$246.45	$246.45
United Facility/Professional Professional Modifier Low / Median / High Price $56.00 / $60.57 / $170.24	Professional		$56.00	$60.57	$170.24