Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.99 / $175.55 / $225.10	Professional		$89.99	$175.55	$225.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $393.45 / $393.45 / $393.45	Facility		$393.45	$393.45	$393.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.73 / $241.19 / $290.57	Professional		$109.73	$241.19	$290.57
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $550.85 / $804.53	Professional		$100.00	$550.85	$804.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.60 / $104.60 / $104.60	Professional		$104.60	$104.60	$104.60
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $136.15 / $239.71	Professional		$65.00	$136.15	$239.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $159.00 / $196.13 / $272.39	Professional		$159.00	$196.13	$272.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $333.07 / $589.86 / $1,154.65	Facility		$333.07	$589.86	$1,154.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,394.74 / $1,394.74 / $2,179.28	Professional		$1,394.74	$1,394.74	$2,179.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $131.05 / $217.92 / $231.73	Facility		$131.05	$217.92	$231.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $104.60 / $104.60 / $255.38	Professional		$104.60	$104.60	$255.38
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $411.32 / $411.32 / $411.32	Professional		$411.32	$411.32	$411.32
United Facility/Professional Professional Modifier Low / Median / High Price $100.52 / $108.72 / $217.93	Professional		$100.52	$108.72	$217.93