Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.55 / $105.69 / $149.91	Professional		$53.55	$105.69	$149.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $312.23 / $312.23 / $312.23	Facility		$312.23	$312.23	$312.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.47 / $143.54 / $172.93	Professional		$56.47	$143.54	$172.93
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $437.12 / $638.42	Professional		$100.00	$437.12	$638.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.26 / $62.26 / $62.26	Professional		$62.26	$62.26	$62.26
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $97.71 / $190.22	Professional		$40.00	$97.71	$190.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $140.00 / $155.63 / $216.16	Professional		$140.00	$155.63	$216.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $265.63 / $321.11 / $821.42	Facility		$265.63	$321.11	$821.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,015.07 / $1,039.41 / $1,296.98	Professional		$1,015.07	$1,039.41	$1,296.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $91.65 / $172.93 / $172.93	Facility		$91.65	$172.93	$172.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $62.26 / $62.26 / $155.82	Professional		$62.26	$62.26	$155.82
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $326.39 / $326.39 / $326.39	Professional		$326.39	$326.39	$326.39
United Facility/Professional Professional Modifier Low / Median / High Price $59.83 / $64.70 / $181.77	Professional		$59.83	$64.70	$181.77