Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $112.20 / $128.82	Professional		$52.48	$112.20	$128.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Facility		$316.23	$316.23	$316.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $123.03 / $190.55	Professional		$56.23	$123.03	$190.55
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $446.68 / $645.65	Professional		$190.55	$446.68	$645.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Facility		$234.42	$234.42	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Professional		$61.66	$61.66	$61.66
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $97.72 / $194.98	Professional		$39.81	$97.72	$194.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $158.49 / $190.55	Professional		$144.54	$158.49	$190.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,288.25 / $1,288.25	Professional		$1,047.13	$1,288.25	$1,288.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $151.36 / $177.83	Facility		$77.62	$151.36	$177.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $79.43	Professional		$63.10	$63.10	$79.43
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $64.57 / $151.36	Professional		$58.88	$64.57	$151.36