Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.36 / $30.36 / $274.13	Facility		$30.36	$30.36	$274.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.35 / $33.39 / $153.22	Professional		$30.35	$33.39	$153.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.42 / $39.79 / $67.31	Facility		$33.42	$39.79	$67.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.29 / $55.79 / $106.53	Professional		$34.29	$55.79	$106.53
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $105.89 / $218.58	Professional		$73.20	$105.89	$218.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.77 / $38.77 / $38.77	Professional		$38.77	$38.77	$38.77
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $95.02 / $104.52 / $128.28	Professional		$95.02	$104.52	$128.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.51 / $118.78 / $218.55	Professional		$66.51	$118.78	$218.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $159.63 / $444.69 / $451.35	Facility		$159.63	$444.69	$451.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $637.82 / $663.33 / $712.65	Professional		$637.82	$663.33	$712.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.76 / $95.02 / $170.44	Facility		$77.76	$95.02	$170.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.77 / $38.77 / $100.58	Professional		$38.77	$38.77	$100.58
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $179.33 / $179.33 / $179.33	Professional		$179.33	$179.33	$179.33
United Facility/Professional Professional Modifier Low / Median / High Price $39.19 / $41.15 / $123.61	Professional		$39.19	$41.15	$123.61