Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.70 / $140.81 / $203.49	Professional		$72.70	$140.81	$203.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $423.84 / $423.84 / $423.84	Facility		$423.84	$423.84	$423.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.66 / $194.85 / $234.75	Professional		$76.66	$194.85	$234.75
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $593.38 / $866.64	Professional		$100.00	$593.38	$866.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.51 / $84.51 / $84.51	Professional		$84.51	$84.51	$84.51
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $234.75 / $281.70	Professional		$65.00	$234.75	$281.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $211.28 / $211.28 / $293.44	Professional		$211.28	$211.28	$293.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $468.98 / $566.90 / $1,115.06	Facility		$468.98	$566.90	$1,115.06
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,792.13 / $1,835.15 / $1,835.15	Professional		$1,792.13	$1,835.15	$1,835.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $129.40 / $234.75 / $234.75	Facility		$129.40	$234.75	$234.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $84.51 / $84.51 / $206.32	Professional		$84.51	$84.51	$206.32
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $443.08 / $443.08 / $443.08	Professional		$443.08	$443.08	$443.08
United Facility/Professional Professional Modifier Low / Median / High Price $81.20 / $87.83 / $306.06	Professional		$81.20	$87.83	$306.06