Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.36 / $118.40 / $154.35	Professional		$61.36	$118.40	$154.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $299.70 / $299.70 / $299.70	Facility		$299.70	$299.70	$299.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.31 / $164.46 / $198.13	Professional		$67.31	$164.46	$198.13
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $419.58 / $612.80	Professional		$100.00	$419.58	$612.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.33 / $71.33 / $71.33	Professional		$71.33	$71.33	$71.33
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $103.69 / $182.60	Professional		$65.00	$103.69	$182.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $116.20 / $149.40 / $207.50	Professional		$116.20	$149.40	$207.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $240.70 / $318.12 / $827.28	Facility		$240.70	$318.12	$827.28
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $951.02 / $951.02 / $1,485.98	Professional		$951.02	$951.02	$1,485.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $99.82 / $166.00 / $174.30	Facility		$99.82	$166.00	$174.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $71.33 / $71.33 / $194.53	Professional		$71.33	$71.33	$194.53
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $313.30 / $313.30 / $313.30	Professional		$313.30	$313.30	$313.30
United Facility/Professional Professional Modifier Low / Median / High Price $68.54 / $74.14 / $215.96	Professional		$68.54	$74.14	$215.96