Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.27 / $104.36 / $143.30	Professional		$53.27	$104.36	$143.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $268.39 / $268.39 / $268.39	Facility		$268.39	$268.39	$268.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.29 / $154.80 / $172.00	Professional		$53.29	$154.80	$172.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $375.74 / $548.78	Professional		$100.00	$375.74	$548.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.92 / $61.92 / $61.92	Professional		$61.92	$61.92	$61.92
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $54.33 / $65.00 / $163.52	Professional		$54.33	$65.00	$163.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $103.00 / $133.79 / $185.81	Professional		$103.00	$133.79	$185.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $215.54 / $261.87 / $706.09	Facility		$215.54	$261.87	$706.09
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $713.52 / $726.08 / $1,040.33	Professional		$713.52	$726.08	$1,040.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $89.40 / $148.65 / $153.33	Facility		$89.40	$148.65	$153.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.92 / $61.92 / $151.18	Professional		$61.92	$61.92	$151.18
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $280.57 / $280.57 / $280.57	Professional		$280.57	$280.57	$280.57
United Facility/Professional Professional Modifier Low / Median / High Price $59.50 / $64.36 / $170.80	Professional		$59.50	$64.36	$170.80