Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.15 / $66.22 / $95.37	Professional		$38.15	$66.22	$95.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.84 / $81.70 / $338.40	Professional		$64.84	$81.70	$338.40
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $106.56 / $238.38 / $288.72	Facility		$106.56	$238.38	$288.72
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $23.51 / $33.59 / $49.20	Professional		$23.51	$33.59	$49.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.70 / $56.32 / $126.79	Facility		$54.70	$56.32	$126.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.68 / $74.42 / $209.86	Professional		$31.68	$74.42	$209.86
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $109.84 / $120.82 / $131.81	Professional		$109.84	$120.82	$131.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $76.20 / $92.53 / $161.93	Professional		$76.20	$92.53	$161.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $153.78 / $160.78 / $439.52	Facility		$153.78	$160.78	$439.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $437.76 / $437.76 / $680.10	Professional		$437.76	$437.76	$680.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.32 / $77.92 / $121.37	Facility		$29.32	$77.92	$121.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.68 / $81.83 / $181.50	Professional		$32.68	$81.83	$181.50
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $220.64 / $220.64 / $220.64	Professional		$220.64	$220.64	$220.64
United Facility/Professional Professional Modifier Low / Median / High Price $31.83 / $55.20 / $191.30	Professional		$31.83	$55.20	$191.30