Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.59 / $55.05 / $74.12	Professional		$27.59	$55.05	$74.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $137.13 / $137.13 / $137.13	Facility		$137.13	$137.13	$137.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.22 / $73.95 / $89.10	Professional		$34.22	$73.95	$89.10
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $191.95 / $280.33	Professional		$100.00	$191.95	$280.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.08 / $32.08 / $32.08	Professional		$32.08	$32.08	$32.08
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $25.74 / $83.55	Professional		$25.00	$25.74	$83.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $68.36 / $68.36 / $94.94	Professional		$68.36	$68.36	$94.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $122.07 / $178.09 / $360.76	Facility		$122.07	$178.09	$360.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $441.05 / $441.05 / $668.25	Professional		$441.05	$441.05	$668.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.66 / $75.95 / $87.65	Facility		$45.66	$75.95	$87.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.08 / $32.08 / $79.48	Professional		$32.08	$32.08	$79.48
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $143.32 / $143.32 / $143.32	Professional		$143.32	$143.32	$143.32
United Facility/Professional Professional Modifier Low / Median / High Price $30.82 / $33.34 / $98.42	Professional		$30.82	$33.34	$98.42