Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.43 / $110.06 / $176.42	Facility		$94.43	$110.06	$176.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.68 / $93.25 / $176.42	Professional		$36.68	$93.25	$176.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.50 / $25.60 / $43.31	Facility		$21.50	$25.60	$43.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.06 / $36.29 / $68.54	Professional		$22.06	$36.29	$68.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $48.22 / $78.77 / $140.63	Professional		$48.22	$78.77	$140.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.95 / $24.95 / $24.95	Professional		$24.95	$24.95	$24.95
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $61.14 / $67.25 / $82.54	Professional		$61.14	$67.25	$82.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.68 / $76.43 / $140.62	Professional		$36.68	$76.43	$140.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $124.11 / $290.42 / $314.30	Facility		$124.11	$290.42	$314.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $458.55 / $724.41 / $753.38	Professional		$458.55	$724.41	$753.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $61.14 / $61.14 / $172.18	Facility		$61.14	$61.14	$172.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.95 / $24.95 / $64.73	Professional		$24.95	$24.95	$64.73
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $115.40 / $115.40 / $115.40	Professional		$115.40	$115.40	$115.40
United Facility/Professional Professional Modifier Low / Median / High Price $24.85 / $26.47 / $79.25	Professional		$24.85	$26.47	$79.25