Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.37 / $152.91 / $211.99	Professional		$78.37	$152.91	$211.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $440.99 / $440.99 / $440.99	Facility		$440.99	$440.99	$440.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.25 / $210.08 / $253.09	Professional		$97.25	$210.08	$253.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $617.39 / $901.72	Professional		$100.00	$617.39	$901.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.11 / $91.11 / $91.11	Professional		$91.11	$91.11	$91.11
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $152.59 / $268.68	Professional		$65.00	$152.59	$268.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $213.00 / $219.83 / $305.31	Professional		$213.00	$219.83	$305.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $354.16 / $513.77 / $1,160.19	Facility		$354.16	$513.77	$1,160.19
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,252.80 / $1,252.80 / $1,898.18	Professional		$1,252.80	$1,252.80	$1,898.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $139.12 / $244.25 / $253.09	Facility		$139.12	$244.25	$253.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $91.11 / $91.11 / $286.24	Professional		$91.11	$91.11	$286.24
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $461.01 / $461.01 / $461.01	Professional		$461.01	$461.01	$461.01
United Facility/Professional Professional Modifier Low / Median / High Price $87.56 / $94.70 / $257.50	Professional		$87.56	$94.70	$257.50