Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.36 / $182.92 / $250.77	Professional		$93.36	$182.92	$250.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $480.64 / $480.64 / $480.64	Facility		$480.64	$480.64	$480.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.89 / $250.23 / $301.45	Professional		$107.89	$250.23	$301.45
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $672.90 / $982.79	Professional		$100.00	$672.90	$982.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.53 / $108.53 / $108.53	Professional		$108.53	$108.53	$108.53
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $266.20 / $319.45	Professional		$65.00	$266.20	$319.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $235.00 / $239.59 / $332.76	Professional		$235.00	$239.59	$332.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $413.00 / $510.00 / $1,264.50	Facility		$413.00	$510.00	$1,264.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,492.23 / $1,492.23 / $2,260.94	Professional		$1,492.23	$1,492.23	$2,260.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $160.09 / $266.20 / $296.77	Facility		$160.09	$266.20	$296.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $108.53 / $108.53 / $311.95	Professional		$108.53	$108.53	$311.95
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $502.46 / $502.46 / $502.46	Professional		$502.46	$502.46	$502.46
United Facility/Professional Professional Modifier Low / Median / High Price $104.29 / $112.80 / $339.39	Professional		$104.29	$112.80	$339.39