Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.86 / $28.86 / $225.05	Facility		$28.86	$28.86	$225.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.85 / $28.86 / $225.05	Professional		$28.85	$28.86	$225.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.51 / $84.42 / $312.00	Facility		$37.51	$84.42	$312.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $14.70 / $46.90	Professional		$14.00	$14.70	$46.90
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $25.31 / $79.09 / $98.70	Facility		$25.31	$79.09	$98.70
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $40.40 / $57.73 / $144.35	Professional		$40.40	$57.73	$144.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.71 / $65.09 / $117.16	Facility		$25.71	$65.09	$117.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.57 / $30.07 / $94.53	Professional		$18.57	$30.07	$94.53
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $38.50 / $47.25	Professional		$35.00	$38.50	$47.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.50 / $40.25 / $77.00	Professional		$31.50	$40.25	$77.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $60.90 / $166.25 / $166.25	Facility		$60.90	$166.25	$166.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $175.00 / $175.00 / $262.50	Professional		$175.00	$175.00	$262.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.03 / $45.05 / $100.58	Facility		$30.03	$45.05	$100.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.13 / $40.25 / $70.00	Professional		$23.13	$40.25	$70.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $122.85 / $122.85 / $122.85	Professional		$122.85	$122.85	$122.85
United Facility/Professional Professional Modifier Low / Median / High Price $14.70 / $14.70 / $70.25	Professional		$14.70	$14.70	$70.25