Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.01 / $154.13 / $198.78	Professional		$79.01	$154.13	$198.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $414.00 / $414.00 / $414.00	Facility		$414.00	$414.00	$414.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.73 / $211.77 / $255.13	Professional		$93.73	$211.77	$255.13
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $579.64 / $846.57	Professional		$100.00	$579.64	$846.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.84 / $91.84 / $91.84	Professional		$91.84	$91.84	$91.84
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $143.27 / $252.23	Professional		$65.00	$143.27	$252.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $206.37 / $206.37 / $286.63	Professional		$206.37	$206.37	$286.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $332.49 / $443.07 / $1,089.18	Facility		$332.49	$443.07	$1,089.18
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,224.61 / $1,224.61 / $1,913.48	Professional		$1,224.61	$1,224.61	$1,913.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $137.90 / $229.30 / $229.30	Facility		$137.90	$229.30	$229.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $91.84 / $91.84 / $268.72	Professional		$91.84	$91.84	$268.72
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $432.82 / $432.82 / $432.82	Professional		$432.82	$432.82	$432.82
United Facility/Professional Professional Modifier Low / Median / High Price $88.26 / $95.46 / $292.33	Professional		$88.26	$95.46	$292.33