Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.53 / $215.64 / $289.83	Professional		$110.53	$215.64	$289.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $483.31 / $483.31 / $483.31	Facility		$483.31	$483.31	$483.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.86 / $296.27 / $356.93	Professional		$102.86	$296.27	$356.93
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $676.64 / $988.26	Professional		$100.00	$676.64	$988.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.49 / $128.49 / $128.49	Professional		$128.49	$128.49	$128.49
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $267.69 / $321.23	Professional		$65.00	$267.69	$321.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $201.00 / $240.92 / $334.61	Professional		$201.00	$240.92	$334.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $467.47 / $724.57 / $1,389.96	Facility		$467.47	$724.57	$1,389.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,689.04 / $1,689.04 / $2,007.68	Professional		$1,689.04	$1,689.04	$2,007.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $160.97 / $267.69 / $298.79	Facility		$160.97	$267.69	$298.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $128.49 / $128.49 / $313.70	Professional		$128.49	$128.49	$313.70
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $505.25 / $505.25 / $505.25	Professional		$505.25	$505.25	$505.25
United Facility/Professional Professional Modifier Low / Median / High Price $123.48 / $133.55 / $348.27	Professional		$123.48	$133.55	$348.27