Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.29 / $111.29 / $156.81	Professional		$58.29	$111.29	$156.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $315.91 / $315.91 / $315.91	Facility		$315.91	$315.91	$315.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.62 / $169.38 / $188.21	Professional		$60.62	$169.38	$188.21
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $442.29 / $645.98	Professional		$100.00	$442.29	$645.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.76 / $67.76 / $67.76	Professional		$67.76	$67.76	$67.76
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $93.54 / $192.47	Professional		$65.00	$93.54	$192.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $122.48 / $157.47 / $218.71	Professional		$122.48	$157.47	$218.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $253.71 / $286.55 / $831.11	Facility		$253.71	$286.55	$831.11
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $851.58 / $872.01 / $1,280.48	Professional		$851.58	$872.01	$1,280.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $98.92 / $174.97 / $177.53	Facility		$98.92	$174.97	$177.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.76 / $67.76 / $165.42	Professional		$67.76	$67.76	$165.42
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $330.26 / $330.26 / $330.26	Professional		$330.26	$330.26	$330.26
United Facility/Professional Professional Modifier Low / Median / High Price $65.11 / $70.42 / $210.80	Professional		$65.11	$70.42	$210.80