Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $48.98 / $64.57	Professional		$23.99	$48.98	$64.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $52.48 / $81.28	Professional		$26.30	$52.48	$81.28
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $154.88 / $223.87	Professional		$66.07	$154.88	$223.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Facility		$102.33	$102.33	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Professional		$28.84	$28.84	$28.84
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $64.57 / $75.86	Professional		$60.26	$64.57	$75.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $54.95 / $67.61	Professional		$51.29	$54.95	$67.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Facility		$302.00	$302.00	$302.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $512.86 / $512.86	Professional		$354.81	$512.86	$512.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $60.26 / $72.44	Facility		$30.90	$60.26	$72.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $79.43	Professional		$29.51	$29.51	$79.43
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Professional		$112.20	$112.20	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $29.51 / $58.88	Professional		$24.55	$29.51	$58.88