Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.14 / $111.61 / $161.50	Professional		$59.14	$111.61	$161.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $332.99 / $332.99 / $332.99	Facility		$332.99	$332.99	$332.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.50 / $171.85 / $190.95	Professional		$61.50	$171.85	$190.95
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $466.18 / $680.87	Professional		$100.00	$466.18	$680.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.73 / $68.73 / $68.73	Professional		$68.73	$68.73	$68.73
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $184.43 / $221.32	Professional		$65.00	$184.43	$221.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $129.00 / $165.99 / $230.54	Professional		$129.00	$165.99	$230.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $267.42 / $290.72 / $876.04	Facility		$267.42	$290.72	$876.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $897.48 / $919.04 / $1,296.00	Professional		$897.48	$919.04	$1,296.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.35 / $184.43 / $187.11	Facility		$100.35	$184.43	$187.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $68.73 / $68.73 / $171.11	Professional		$68.73	$68.73	$171.11
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $348.10 / $348.10 / $348.10	Professional		$348.10	$348.10	$348.10
United Facility/Professional Professional Modifier Low / Median / High Price $66.06 / $71.45 / $213.86	Professional		$66.06	$71.45	$213.86