Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $102.33 / $138.04	Professional		$48.98	$102.33	$138.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Facility		$295.12	$295.12	$295.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $138.04 / $177.83	Professional		$46.77	$138.04	$177.83
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $416.87 / $602.56	Professional		$177.83	$416.87	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Facility		$218.78	$218.78	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Professional		$57.54	$57.54	$57.54
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $64.57 / $177.83	Professional		$61.66	$64.57	$177.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $147.91 / $162.18	Professional		$131.83	$147.91	$162.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $912.01 / $912.01	Professional		$870.96	$912.01	$912.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $138.04 / $165.96	Facility		$70.79	$138.04	$165.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $79.43	Professional		$58.88	$58.88	$79.43
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $60.26 / $134.90	Professional		$46.77	$60.26	$134.90