Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $162.18 / $218.78	Professional		$77.62	$162.18	$218.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Facility		$446.68	$446.68	$446.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $169.82 / $269.15	Professional		$97.72	$169.82	$269.15
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $630.96 / $912.01	Professional		$269.15	$630.96	$912.01
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 / $151.36 / $275.42	Professional		$64.57	$151.36	$275.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $275.42	Professional		$223.87	$223.87	$275.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Facility		$1,148.15	$1,148.15	$1,148.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,905.46 / $1,905.46	Professional		$1,258.93	$1,905.46	$1,905.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $234.42 / $257.04	Facility		$123.03	$234.42	$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 $457.09 / $457.09 / $457.09	Professional		$457.09	$457.09	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $95.50 / $213.80	Professional		$85.11	$95.50	$213.80