Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.15 / $27.41 / $39.61	Professional		$14.15	$27.41	$39.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $82.49 / $82.49 / $82.49	Facility		$82.49	$82.49	$82.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.04 / $37.92 / $45.69	Professional		$16.04	$37.92	$45.69
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $60.63 / $115.49 / $168.68	Professional		$60.63	$115.49	$168.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.45 / $16.45 / $16.45	Professional		$16.45	$16.45	$16.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $15.78 / $23.67 / $50.26	Professional		$15.78	$23.67	$50.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.12 / $41.12 / $65.00	Professional		$41.12	$41.12	$65.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $101.99 / $123.27 / $217.03	Facility		$101.99	$123.27	$217.03
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $389.75 / $399.11 / $399.11	Professional		$389.75	$399.11	$399.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.47 / $45.69 / $45.69	Facility		$24.47	$45.69	$45.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.45 / $16.45 / $49.42	Professional		$16.45	$16.45	$49.42
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $86.23 / $86.23 / $86.23	Professional		$86.23	$86.23	$86.23
United Facility/Professional Professional Modifier Low / Median / High Price $15.80 / $17.09 / $45.69	Professional		$15.80	$17.09	$45.69