Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.50 / $82.82 / $99.60	Professional		$41.50	$82.82	$99.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.72 / $199.72 / $199.72	Facility		$199.72	$199.72	$199.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.78 / $111.23 / $134.00	Professional		$43.78	$111.23	$134.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $279.62 / $408.39	Professional		$100.00	$279.62	$408.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.24 / $48.24 / $48.24	Professional		$48.24	$48.24	$48.24
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $44.87 / $121.68	Professional		$40.00	$44.87	$121.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.43 / $99.56 / $138.28	Professional		$77.43	$99.56	$138.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $160.40 / $206.98 / $525.45	Facility		$160.40	$206.98	$525.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $618.38 / $618.38 / $966.23	Professional		$618.38	$618.38	$966.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $66.52 / $110.62 / $113.72	Facility		$66.52	$110.62	$113.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.24 / $48.24 / $122.81	Professional		$48.24	$48.24	$122.81
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $208.79 / $208.79 / $208.79	Professional		$208.79	$208.79	$208.79
United Facility/Professional Professional Modifier Low / Median / High Price $46.36 / $50.14 / $143.91	Professional		$46.36	$50.14	$143.91