Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $62.45 / $78.81	Professional		$32.34	$62.45	$78.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $156.93 / $156.93 / $156.93	Facility		$156.93	$156.93	$156.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.88 / $86.68 / $104.43	Professional		$36.88	$86.68	$104.43
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $219.73 / $320.92	Professional		$100.00	$219.73	$320.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.59 / $37.59 / $37.59	Professional		$37.59	$37.59	$37.59
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $42.35 / $65.00 / $95.61	Professional		$42.35	$65.00	$95.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $78.23 / $78.23 / $115.00	Professional		$78.23	$78.23	$115.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $127.15 / $174.38 / $412.87	Facility		$127.15	$174.38	$412.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $485.71 / $485.71 / $758.93	Professional		$485.71	$485.71	$758.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.29 / $86.92 / $92.81	Facility		$52.29	$86.92	$92.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.59 / $37.59 / $106.18	Professional		$37.59	$37.59	$106.18
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $164.07 / $164.07 / $164.07	Professional		$164.07	$164.07	$164.07
United Facility/Professional Professional Modifier Low / Median / High Price $36.13 / $39.07 / $113.10	Professional		$36.13	$39.07	$113.10