Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.65 / $71.52 / $98.54	Professional		$36.65	$71.52	$98.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $205.23 / $205.23 / $205.23	Facility		$205.23	$205.23	$205.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.22 / $98.26 / $118.38	Professional		$35.22	$98.26	$118.38
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $287.33 / $419.67	Professional		$100.00	$287.33	$419.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.61 / $42.61 / $42.61	Professional		$42.61	$42.61	$42.61
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $77.05 / $125.04	Professional		$25.00	$77.05	$125.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.56 / $102.30 / $142.09	Professional		$79.56	$102.30	$142.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $164.82 / $215.06 / $539.92	Facility		$164.82	$215.06	$539.92
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $585.98 / $585.98 / $687.60	Professional		$585.98	$585.98	$687.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.38 / $113.67 / $118.38	Facility		$63.38	$113.67	$118.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.61 / $42.61 / $123.52	Professional		$42.61	$42.61	$123.52
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $214.56 / $214.56 / $214.56	Professional		$214.56	$214.56	$214.56
United Facility/Professional Professional Modifier Low / Median / High Price $40.96 / $44.29 / $144.91	Professional		$40.96	$44.29	$144.91