Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.69 / $101.95 / $128.71	Professional		$51.69	$101.95	$128.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $225.99 / $225.99 / $225.99	Facility		$225.99	$225.99	$225.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.02 / $121.41 / $166.89	Professional		$63.02	$121.41	$166.89
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $316.39 / $462.12	Professional		$100.00	$316.39	$462.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.08 / $60.08 / $60.08	Professional		$60.08	$60.08	$60.08
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $78.20 / $137.69	Professional		$65.00	$78.20	$137.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $112.65 / $156.46	Professional		$105.00	$112.65	$156.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $207.60 / $297.86 / $685.20	Facility		$207.60	$297.86	$685.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $801.07 / $801.07 / $1,251.68	Professional		$801.07	$801.07	$1,251.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.28 / $125.17 / $142.66	Facility		$75.28	$125.17	$142.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.08 / $60.08 / $164.50	Professional		$60.08	$60.08	$164.50
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $236.26 / $236.26 / $236.26	Professional		$236.26	$236.26	$236.26
United Facility/Professional Professional Modifier Low / Median / High Price $57.74 / $62.45 / $126.29	Professional		$57.74	$62.45	$126.29