Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.60 / $69.23 / $100.46	Professional		$36.60	$69.23	$100.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $201.96 / $201.96 / $201.96	Facility		$201.96	$201.96	$201.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.06 / $98.10 / $118.19	Professional		$38.06	$98.10	$118.19
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $282.75 / $412.96	Professional		$100.00	$282.75	$412.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.55 / $42.55 / $42.55	Professional		$42.55	$42.55	$42.55
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $42.31 / $123.05	Professional		$40.00	$42.31	$123.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $68.00 / $100.67 / $139.83	Professional		$68.00	$100.67	$139.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $158.84 / $179.94 / $531.34	Facility		$158.84	$179.94	$531.34
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $588.59 / $588.59 / $752.55	Professional		$588.59	$588.59	$752.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $61.62 / $111.86 / $111.86	Facility		$61.62	$111.86	$111.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.55 / $42.55 / $120.56	Professional		$42.55	$42.55	$120.56
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $211.13 / $211.13 / $211.13	Professional		$211.13	$211.13	$211.13
United Facility/Professional Professional Modifier Low / Median / High Price $40.88 / $44.22 / $156.86	Professional		$40.88	$44.22	$156.86