Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.44 / $85.46 / $116.62	Professional		$42.44	$85.46	$116.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $189.76 / $189.76 / $189.76	Facility		$189.76	$189.76	$189.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.79 / $123.32 / $137.03	Professional		$42.79	$123.32	$137.03
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $265.67 / $388.01	Professional		$100.00	$265.67	$388.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.33 / $49.33 / $49.33	Professional		$49.33	$49.33	$49.33
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $62.09 / $65.00 / $115.61	Professional		$62.09	$65.00	$115.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $78.00 / $94.59 / $131.38	Professional		$78.00	$94.59	$131.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $155.09 / $221.74 / $537.64	Facility		$155.09	$221.74	$537.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $553.72 / $553.72 / $835.43	Professional		$553.72	$553.72	$835.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.21 / $105.10 / $117.16	Facility		$63.21	$105.10	$117.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $49.33 / $49.33 / $123.17	Professional		$49.33	$49.33	$123.17
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $198.37 / $198.37 / $198.37	Professional		$198.37	$198.37	$198.37
United Facility/Professional Professional Modifier Low / Median / High Price $47.41 / $51.28 / $136.74	Professional		$47.41	$51.28	$136.74