Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.61 / $24.65 / $168.60	Professional		$17.61	$24.65	$168.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.36 / $16.89 / $24.63	Facility		$14.36	$16.89	$24.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.89 / $49.47 / $118.98	Professional		$12.89	$49.47	$118.98
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $14.10 / $20.14 / $70.09	Professional		$14.10	$20.14	$70.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.57 / $62.57 / $62.57	Facility		$62.57	$62.57	$62.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $29.29 / $109.52	Professional		$22.81	$29.29	$109.52
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $20.97 / $26.22 / $35.40	Professional		$20.97	$26.22	$35.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.60 / $28.84 / $45.89	Professional		$23.60	$28.84	$45.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $45.62 / $183.42 / $183.42	Facility		$45.62	$183.42	$183.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $307.52 / $307.52 / $307.52	Professional		$307.52	$307.52	$307.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.21 / $17.21 / $26.22	Professional		$17.21	$17.21	$26.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.74 / $38.15 / $107.84	Facility		$26.74	$38.15	$107.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.75 / $31.73 / $86.72	Professional		$25.75	$31.73	$86.72
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $92.03 / $92.03 / $92.03	Professional		$92.03	$92.03	$92.03
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $16.21 / $16.21 / $314.55	Professional		$16.21	$16.21	$314.55
United Facility/Professional Professional Modifier Low / Median / High Price $15.73 / $19.32 / $81.18	Professional		$15.73	$19.32	$81.18