Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.71 / $16.71 / $18.30	Facility		$16.71	$16.71	$18.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.71 / $25.70 / $51.71	Professional		$16.71	$25.70	$51.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.54 / $24.46 / $41.39	Facility		$20.54	$24.46	$41.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.11 / $28.11 / $57.67	Professional		$28.11	$28.11	$57.67
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.45 / $91.91 / $131.78	Facility		$65.45	$91.91	$131.78
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $72.48 / $104.87 / $200.62	Professional		$72.48	$104.87	$200.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.50 / $25.43 / $25.43	Professional		$21.50	$25.43	$25.43
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $62.32 / $68.55 / $84.13	Professional		$62.32	$68.55	$84.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $77.90 / $143.34	Professional		$42.00	$77.90	$143.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $92.48 / $288.52 / $296.02	Facility		$92.48	$288.52	$296.02
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $317.88 / $325.52 / $442.88	Professional		$317.88	$325.52	$442.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.62 / $62.32 / $84.58	Facility		$44.62	$62.32	$84.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.50 / $25.43 / $57.00	Professional		$21.50	$25.43	$57.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $117.63 / $117.63 / $117.63	Professional		$117.63	$117.63	$117.63
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $49.86 / $49.86 / $56.09	Professional		$49.86	$49.86	$56.09
United Facility/Professional Professional Modifier Low / Median / High Price $24.88 / $28.11 / $87.39	Professional		$24.88	$28.11	$87.39