Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.60 / $98.89 / $138.84	Professional		$49.60	$98.89	$138.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $289.14 / $289.14 / $289.14	Facility		$289.14	$289.14	$289.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.74 / $141.31 / $160.15	Professional		$46.74	$141.31	$160.15
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $404.84 / $591.27	Professional		$100.00	$404.84	$591.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.66 / $57.66 / $57.66	Professional		$57.66	$57.66	$57.66
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $62.09 / $65.00 / $176.17	Professional		$62.09	$65.00	$176.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $119.00 / $144.13 / $200.19	Professional		$119.00	$144.13	$200.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $232.62 / $272.00 / $760.71	Facility		$232.62	$272.00	$760.71
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $859.86 / $880.52 / $912.38	Professional		$859.86	$880.52	$912.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $85.93 / $160.15 / $160.15	Facility		$85.93	$160.15	$160.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $57.66 / $57.66 / $144.76	Professional		$57.66	$57.66	$144.76
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $302.29 / $302.29 / $302.29	Professional		$302.29	$302.29	$302.29
United Facility/Professional Professional Modifier Low / Median / High Price $55.40 / $59.93 / $192.18	Professional		$55.40	$59.93	$192.18