Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.48 / $69.28 / $187.21	Facility		$14.48	$69.28	$187.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.67 / $16.41 / $100.28	Professional		$12.67	$16.41	$100.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.26 / $93.03 / $312.00	Facility		$42.26	$93.03	$312.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.10 / $15.43 / $31.40	Professional		$12.10	$15.43	$31.40
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $39.36 / $85.70 / $177.56	Facility		$39.36	$85.70	$177.56
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $8.77 / $12.53 / $52.46	Professional		$8.77	$12.53	$52.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.56 / $50.64 / $124.35	Facility		$14.56	$50.64	$124.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.89 / $41.32 / $58.85	Professional		$9.89	$41.32	$58.85
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $15.40 / $38.57 / $61.71	Professional		$15.40	$38.57	$61.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.86 / $38.57 / $75.20	Professional		$30.86	$38.57	$75.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $61.71 / $183.21 / $183.21	Facility		$61.71	$183.21	$183.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.28 / $19.28 / $19.28	Professional		$19.28	$19.28	$19.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.29 / $36.10 / $91.92	Facility		$19.29	$36.10	$91.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.97 / $22.71 / $42.43	Professional		$9.97	$22.71	$42.43
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $135.38 / $135.38 / $135.38	Professional		$135.38	$135.38	$135.38
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $15.71 / $26.18 / $34.71	Professional		$15.71	$26.18	$34.71
United Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $16.20 / $99.24	Professional		$8.11	$16.20	$99.24