Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $242.65 / $415.00 / $575.45	Professional		$242.65	$415.00	$575.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,151.89 / $1,151.89 / $1,151.89	Facility		$1,151.89	$1,151.89	$1,151.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $250.06 / $650.41 / $783.55	Professional		$250.06	$650.41	$783.55
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,612.66 / $2,355.33	Professional		$100.00	$1,612.66	$2,355.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $282.08 / $282.08 / $282.08	Professional		$282.08	$282.08	$282.08
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $637.99 / $701.79	Professional		$65.00	$637.99	$701.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $559.00 / $574.19 / $797.49	Professional		$559.00	$574.19	$797.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $925.09 / $1,326.89 / $3,066.90	Facility		$925.09	$1,326.89	$3,066.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,280.53 / $3,280.53 / $4,881.00	Professional		$3,280.53	$3,280.53	$4,881.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $383.67 / $637.99 / $657.10	Facility		$383.67	$637.99	$657.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $282.08 / $282.08 / $747.65	Professional		$282.08	$282.08	$747.65
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,204.18 / $1,204.18 / $1,204.18	Professional		$1,204.18	$1,204.18	$1,204.18
United Facility/Professional Professional Modifier Low / Median / High Price $271.07 / $293.18 / $830.04	Professional		$271.07	$293.18	$830.04