Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $54.95 / $74.13	Professional		$26.92	$54.95	$74.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Facility		$158.49	$158.49	$158.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $58.88 / $93.33	Professional		$28.84	$58.88	$93.33
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $223.87 / $323.59	Professional		$95.50	$223.87	$323.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Facility		$120.23	$120.23	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $32.36	Professional		$32.36	$32.36	$32.36
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $39.81 / $95.50	Professional		$36.31	$39.81	$95.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $77.62 / $95.50	Professional		$63.10	$77.62	$95.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Facility		$407.38	$407.38	$407.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $660.69 / $660.69	Professional		$426.58	$660.69	$660.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $77.62 / $91.20	Facility		$43.65	$77.62	$91.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $79.43	Professional		$33.11	$33.11	$79.43
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $33.11 / $72.44	Professional		$28.18	$33.11	$72.44