Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $97.72 / $218.78	Facility		$27.54	$97.72	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $20.89 / $87.10	Professional		$14.13	$20.89	$87.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $44.67 / $97.72	Facility		$10.96	$44.67	$97.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $16.60 / $56.23	Professional		$9.55	$16.60	$56.23
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $85.11 / $263.03	Facility		$43.65	$85.11	$263.03
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $22.39 / $56.23	Professional		$15.49	$22.39	$56.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $32.36 / $70.79	Facility		$12.88	$32.36	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $19.50 / $32.36	Professional		$11.48	$19.50	$32.36
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $19.50 / $30.90	Professional		$17.38	$19.50	$30.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $19.50 / $43.65	Professional		$15.49	$19.50	$43.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $100.00	Facility		$91.20	$91.20	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $11.48 / $23.44	Professional		$11.48	$11.48	$23.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $23.44 / $56.23	Facility		$16.22	$23.44	$56.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $18.20 / $44.67	Professional		$11.48	$18.20	$44.67
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Professional		$67.61	$67.61	$67.61
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $19.95 / $33.11	Professional		$15.49	$19.95	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $11.48 / $19.50	Facility		$8.71	$11.48	$19.50
United Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $11.48 / $38.90	Professional		$8.13	$11.48	$38.90