Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.95 / $87.12 / $109.08	Professional		$42.95	$87.12	$109.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $224.68 / $224.68 / $224.68	Facility		$224.68	$224.68	$224.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.08 / $115.11 / $138.68	Professional		$42.08	$115.11	$138.68
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $314.52 / $459.36	Professional		$100.00	$314.52	$459.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.92 / $49.92 / $49.92	Professional		$49.92	$49.92	$49.92
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $61.83 / $65.00 / $136.88	Professional		$61.83	$65.00	$136.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $112.00 / $155.55	Professional		$85.00	$112.00	$155.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $180.44 / $212.30 / $591.09	Facility		$180.44	$212.30	$591.09
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $597.30 / $598.23 / $821.40	Professional		$597.30	$598.23	$821.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.83 / $124.44 / $125.52	Facility		$74.83	$124.44	$125.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $49.92 / $49.92 / $131.47	Professional		$49.92	$49.92	$131.47
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $234.85 / $234.85 / $234.85	Professional		$234.85	$234.85	$234.85
United Facility/Professional Professional Modifier Low / Median / High Price $47.98 / $54.64 / $184.70	Professional		$47.98	$54.64	$184.70