Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.59 / $147.54 / $210.54	Professional		$75.59	$147.54	$210.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $438.50 / $438.50 / $438.50	Facility		$438.50	$438.50	$438.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.18 / $202.60 / $244.08	Professional		$91.18	$202.60	$244.08
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $613.92 / $896.66	Professional		$100.00	$613.92	$896.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.87 / $87.87 / $87.87	Professional		$87.87	$87.87	$87.87
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $242.87 / $291.44	Professional		$65.00	$242.87	$291.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $183.00 / $218.58 / $303.58	Professional		$183.00	$218.58	$303.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $360.47 / $431.05 / $1,153.63	Facility		$360.47	$431.05	$1,153.63
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,182.56 / $1,210.95 / $1,830.60	Professional		$1,182.56	$1,210.95	$1,830.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $142.66 / $242.87 / $242.87	Facility		$142.66	$242.87	$242.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.87 / $87.87 / $264.01	Professional		$87.87	$87.87	$264.01
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $458.42 / $458.42 / $458.42	Professional		$458.42	$458.42	$458.42
United Facility/Professional Professional Modifier Low / Median / High Price $84.44 / $91.33 / $291.44	Professional		$84.44	$91.33	$291.44