Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.63 / $148.33 / $187.63	Professional		$74.63	$148.33	$187.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $326.33 / $326.33 / $326.33	Facility		$326.33	$326.33	$326.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.56 / $200.03 / $240.98	Professional		$86.56	$200.03	$240.98
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $456.85 / $667.24	Professional		$100.00	$456.85	$667.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.76 / $86.76 / $86.76	Professional		$86.76	$86.76	$86.76
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $112.92 / $198.81	Professional		$65.00	$112.92	$198.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $142.00 / $162.66 / $225.93	Professional		$142.00	$162.66	$225.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $302.64 / $453.22 / $969.84	Facility		$302.64	$453.22	$969.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,093.50 / $1,093.50 / $1,689.45	Professional		$1,093.50	$1,093.50	$1,689.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $108.68 / $180.74 / $201.46	Facility		$108.68	$180.74	$201.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $86.76 / $86.76 / $216.29	Professional		$86.76	$86.76	$216.29
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $341.13 / $341.13 / $341.13	Professional		$341.13	$341.13	$341.13
United Facility/Professional Professional Modifier Low / Median / High Price $83.36 / $90.17 / $235.14	Professional		$83.36	$90.17	$235.14