Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $158.49 / $199.53	Professional		$79.43	$158.49	$199.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Facility		$426.58	$426.58	$426.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $169.82 / $263.03	Professional		$93.33	$169.82	$263.03
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $588.84 / $870.96	Professional		$257.04	$588.84	$870.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Facility		$363.08	$363.08	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $144.54 / $257.04	Professional		$64.57	$144.54	$257.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $263.03	Professional		$208.93	$208.93	$263.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Facility		$1,096.48	$1,096.48	$1,096.48
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,905.46 / $1,905.46	Professional		$1,230.27	$1,905.46	$1,905.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Professional		$263.03	$263.03	$263.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $223.87 / $257.04	Facility		$120.23	$223.87	$257.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Professional		$436.52	$436.52	$436.52
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $95.50 / $204.17	Professional		$85.11	$95.50	$204.17