Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $125.89 / $660.69	Facility		$107.15	$125.89	$660.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $109.65 / $446.68	Professional		$83.18	$109.65	$446.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $69.18 / $173.78	Facility		$54.95	$69.18	$173.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $97.72 / $169.82	Professional		$54.95	$97.72	$169.82
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $158.49 / $346.74	Professional		$109.65	$158.49	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Professional		$61.66	$61.66	$61.66
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $169.82 / $208.93	Professional		$154.88	$169.82	$208.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $154.88 / $269.15	Professional		$91.20	$154.88	$269.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Facility		$724.44	$724.44	$724.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,148.15 / $1,148.15	Professional		$870.96	$1,148.15	$1,148.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $154.88 / $234.42	Facility		$100.00	$154.88	$234.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $147.91	Professional		$63.10	$63.10	$147.91
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Professional		$288.40	$288.40	$288.40
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $66.07 / $151.36	Professional		$57.54	$66.07	$151.36