Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.68 / $88.41 / $202.26	Facility		$20.68	$88.41	$202.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.55 / $22.88 / $108.72	Professional		$14.55	$22.88	$108.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.18 / $169.00 / $876.00	Facility		$10.18	$169.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.67 / $18.36 / $50.28	Professional		$9.67	$18.36	$50.28
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $45.50 / $87.70 / $249.34	Facility		$45.50	$87.70	$249.34
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $12.15 / $17.35 / $67.73	Professional		$12.15	$17.35	$67.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.57 / $25.71 / $65.56	Facility		$13.57	$25.71	$65.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.98 / $22.72 / $29.94	Professional		$12.98	$22.72	$29.94
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $19.59 / $21.55 / $99.00	Professional		$19.59	$21.55	$99.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.67 / $19.59 / $44.39	Professional		$15.67	$19.59	$44.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $93.18 / $93.18	Facility		$80.00	$93.18	$93.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.79 / $9.79 / $9.79	Professional		$9.79	$9.79	$9.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.71 / $21.55 / $49.65	Facility		$13.71	$21.55	$49.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.51 / $19.59 / $31.21	Professional		$14.51	$19.59	$31.21
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $68.76 / $68.76 / $68.76	Professional		$68.76	$68.76	$68.76
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $15.67 / $19.59 / $27.43	Professional		$15.67	$19.59	$27.43
United Facility/Professional Professional Modifier Low / Median / High Price $8.23 / $11.65 / $35.57	Professional		$8.23	$11.65	$35.57