Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.56 / $168.98 / $240.18	Professional		$87.56	$168.98	$240.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $510.56 / $510.56 / $510.56	Facility		$510.56	$510.56	$510.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.35 / $234.72 / $282.77	Professional		$92.35	$234.72	$282.77
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $714.80 / $1,043.98	Professional		$100.00	$714.80	$1,043.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.80 / $101.80 / $101.80	Professional		$101.80	$101.80	$101.80
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $282.77 / $339.34	Professional		$65.00	$282.77	$339.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $254.50 / $353.48	Professional		$171.00	$254.50	$353.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $422.44 / $510.65 / $1,343.21	Facility		$422.44	$510.65	$1,343.21
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,614.29 / $1,653.03 / $2,120.85	Professional		$1,614.29	$1,653.03	$2,120.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $155.88 / $282.77 / $282.77	Facility		$155.88	$282.77	$282.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $101.80 / $101.80 / $305.85	Professional		$101.80	$101.80	$305.85
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $533.74 / $533.74 / $533.74	Professional		$533.74	$533.74	$533.74
United Facility/Professional Professional Modifier Low / Median / High Price $97.82 / $105.81 / $298.12	Professional		$97.82	$105.81	$298.12