Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.25 / $19.00 / $61.38	Professional		$14.25	$19.00	$61.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $6.71 / $10.74 / $30.39	Professional	TC	$6.71	$10.74	$30.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.73 / $26.69 / $50.82	Professional		$18.73	$26.69	$50.82
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $9.84 / $15.43 / $29.35	Professional	TC	$9.84	$15.43	$29.35
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $18.73 / $24.24 / $57.45	Professional		$18.73	$24.24	$57.45
Blue Shield Facility/Professional Professional Modifier TC Low / Median / High Price $9.61 / $12.47 / $32.76	Professional	TC	$9.61	$12.47	$32.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.39 / $26.08 / $50.81	Professional		$16.39	$26.08	$50.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $7.93 / $14.66 / $27.21	Professional	TC	$7.93	$14.66	$27.21
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $14.55 / $21.88 / $29.54	Professional		$14.55	$21.88	$29.54
Contra Costa Health Facility/Professional Professional Modifier TC Low / Median / High Price $7.28 / $12.08 / $16.30	Professional	TC	$7.28	$12.08	$16.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.88 / $21.88 / $40.00	Professional		$16.88	$21.88	$40.00
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $9.66 / $14.06 / $22.77	Professional	TC	$9.66	$14.06	$22.77
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $185.25 / $206.87 / $206.87	Professional		$185.25	$206.87	$206.87
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $115.56 / $125.44 / $125.44	Professional	TC	$115.56	$125.44	$125.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.84 / $32.34 / $32.34	Professional		$8.84	$32.34	$32.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.48 / $29.42 / $48.02	Professional		$17.48	$29.42	$48.02
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $7.93 / $14.98 / $26.65	Professional	TC	$7.93	$14.98	$26.65
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $56.94 / $56.94 / $56.94	Professional		$56.94	$56.94	$56.94
Sutter Health Plus Facility/Professional Professional Modifier TC Low / Median / High Price $27.09 / $27.09 / $27.09	Professional	TC	$27.09	$27.09	$27.09
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $17.68 / $24.31 / $42.20	Professional		$17.68	$24.31	$42.20
United Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $21.22 / $47.38	Professional		$16.20	$21.22	$47.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $8.30 / $10.48 / $24.39	Professional	TC	$8.30	$10.48	$24.39