Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.15 / $88.20 / $112.67	Professional		$44.15	$88.20	$112.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $232.31 / $232.31 / $232.31	Facility		$232.31	$232.31	$232.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.23 / $119.36 / $142.58	Professional		$41.23	$119.36	$142.58
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $325.25 / $475.04	Professional		$100.00	$325.25	$475.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.33 / $51.33 / $51.33	Professional		$51.33	$51.33	$51.33
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $54.33 / $65.00 / $141.54	Professional		$54.33	$65.00	$141.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.00 / $115.80 / $160.84	Professional		$104.00	$115.80	$160.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $186.57 / $256.04 / $611.17	Facility		$186.57	$256.04	$611.17
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $636.12 / $636.12 / $805.05	Professional		$636.12	$636.12	$805.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.38 / $128.66 / $130.51	Facility		$77.38	$128.66	$130.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.33 / $51.33 / $125.32	Professional		$51.33	$51.33	$125.32
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $242.86 / $242.86 / $242.86	Professional		$242.86	$242.86	$242.86
United Facility/Professional Professional Modifier Low / Median / High Price $49.33 / $53.35 / $129.82	Professional		$49.33	$53.35	$129.82