Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.41 / $89.92 / $124.31	Professional		$44.41	$89.92	$124.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $258.93 / $258.93 / $258.93	Facility		$258.93	$258.93	$258.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.50 / $119.03 / $143.41	Professional		$41.50	$119.03	$143.41
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $362.49 / $529.42	Professional		$100.00	$362.49	$529.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.62 / $51.62 / $51.62	Professional		$51.62	$51.62	$51.62
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $54.59 / $65.00 / $157.75	Professional		$54.59	$65.00	$157.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $108.00 / $129.07 / $179.26	Professional		$108.00	$129.07	$179.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $215.12 / $248.00 / $681.20	Facility		$215.12	$248.00	$681.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $784.22 / $803.03 / $810.15	Professional		$784.22	$803.03	$810.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $79.76 / $143.41 / $143.41	Facility		$79.76	$143.41	$143.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.62 / $51.62 / $129.06	Professional		$51.62	$51.62	$129.06
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $270.67 / $270.67 / $270.67	Professional		$270.67	$270.67	$270.67
United Facility/Professional Professional Modifier Low / Median / High Price $49.61 / $53.66 / $157.75	Professional		$49.61	$53.66	$157.75