Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.91 / $65.52 / $155.58	Facility		$15.91	$65.52	$155.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.19 / $14.36 / $39.42	Professional		$11.19	$14.36	$39.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.52 / $36.36 / $293.00	Facility		$16.52	$36.36	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.44 / $11.87 / $35.08	Professional		$7.44	$11.87	$35.08
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $39.06 / $85.29 / $193.75	Facility		$39.06	$85.29	$193.75
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $9.35 / $13.35 / $72.38	Professional		$9.35	$13.35	$72.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.44 / $19.80 / $50.47	Facility		$10.44	$19.80	$50.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.76 / $18.18 / $27.11	Professional		$9.76	$18.18	$27.11
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $13.40 / $15.08 / $24.13	Professional		$13.40	$15.08	$24.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.06 / $15.08 / $32.86	Professional		$12.06	$15.08	$32.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $72.00 / $98.60	Facility		$65.00	$72.00	$98.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.05 / $9.05 / $9.05	Professional		$9.05	$9.05	$9.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.51 / $18.03 / $48.10	Facility		$12.51	$18.03	$48.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.97 / $15.08 / $30.16	Professional		$9.97	$15.08	$30.16
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $52.93 / $52.93 / $52.93	Professional		$52.93	$52.93	$52.93
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $12.06 / $15.08 / $21.11	Professional		$12.06	$15.08	$21.11
United Facility/Professional Professional Modifier Low / Median / High Price $6.33 / $8.97 / $29.15	Professional		$6.33	$8.97	$29.15