Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.64 / $80.89 / $102.27	Professional		$40.64	$80.89	$102.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.70 / $177.70 / $177.70	Facility		$177.70	$177.70	$177.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.09 / $108.93 / $131.22	Professional		$38.09	$108.93	$131.22
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $248.79 / $363.37	Professional		$100.00	$248.79	$363.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.24 / $47.24 / $47.24	Professional		$47.24	$47.24	$47.24
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $54.33 / $65.00 / $108.26	Professional		$54.33	$65.00	$108.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $88.58 / $123.03	Professional		$75.00	$88.58	$123.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $167.30 / $199.79 / $505.21	Facility		$167.30	$199.79	$505.21
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $604.49 / $604.49 / $743.48	Professional		$604.49	$604.49	$743.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $59.18 / $98.42 / $114.17	Facility		$59.18	$98.42	$114.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.24 / $47.24 / $115.34	Professional		$47.24	$47.24	$115.34
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $185.77 / $185.77 / $185.77	Professional		$185.77	$185.77	$185.77
United Facility/Professional Professional Modifier Low / Median / High Price $45.40 / $49.10 / $127.57	Professional		$45.40	$49.10	$127.57