Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.99 / $106.11 / $146.47	Professional		$54.99	$106.11	$146.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $256.20 / $256.20 / $256.20	Facility		$256.20	$256.20	$256.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.26 / $147.38 / $177.56	Professional		$58.26	$147.38	$177.56
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $358.66 / $523.83	Professional		$100.00	$358.66	$523.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.92 / $63.92 / $63.92	Professional		$63.92	$63.92	$63.92
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $88.64 / $156.09	Professional		$65.00	$88.64	$156.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $127.71 / $127.71 / $177.38	Professional		$127.71	$127.71	$177.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $241.24 / $298.92 / $734.76	Facility		$241.24	$298.92	$734.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $871.65 / $871.65 / $1,137.15	Professional		$871.65	$871.65	$1,137.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $85.32 / $141.90 / $158.16	Facility		$85.32	$141.90	$158.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.92 / $63.92 / $195.38	Professional		$63.92	$63.92	$195.38
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $267.81 / $267.81 / $267.81	Professional		$267.81	$267.81	$267.81
United Facility/Professional Professional Modifier Low / Median / High Price $61.43 / $66.44 / $184.60	Professional		$61.43	$66.44	$184.60