Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.62 / $140.25 / $171.78	Professional		$69.62	$140.25	$171.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $304.41 / $304.41 / $304.41	Facility		$304.41	$304.41	$304.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.89 / $186.60 / $224.80	Professional		$84.89	$186.60	$224.80
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $426.18 / $622.44	Professional		$100.00	$426.18	$622.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.93 / $80.93 / $80.93	Professional		$80.93	$80.93	$80.93
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $168.60 / $202.32	Professional		$65.00	$168.60	$202.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.00 / $151.74 / $210.75	Professional		$134.00	$151.74	$210.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $258.89 / $416.33 / $897.48	Facility		$258.89	$416.33	$897.48
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,079.04 / $1,079.04 / $1,686.00	Professional		$1,079.04	$1,079.04	$1,686.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $101.39 / $168.60 / $174.83	Facility		$101.39	$168.60	$174.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $80.93 / $80.93 / $210.76	Professional		$80.93	$80.93	$210.76
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $318.23 / $318.23 / $318.23	Professional		$318.23	$318.23	$318.23
United Facility/Professional Professional Modifier Low / Median / High Price $77.77 / $84.11 / $218.53	Professional		$77.77	$84.11	$218.53