Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.00 / $12.05 / $118.40	Facility		$11.00	$12.05	$118.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $19.14 / $118.40	Professional		$11.00	$19.14	$118.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.31 / $15.85 / $26.82	Facility		$13.31	$15.85	$26.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.21 / $18.21 / $38.17	Professional		$18.21	$18.21	$38.17
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $43.10 / $60.51 / $86.76	Facility		$43.10	$60.51	$86.76
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $47.73 / $97.91 / $132.11	Professional		$47.73	$97.91	$132.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.95 / $20.95 / $20.95	Professional		$20.95	$20.95	$20.95
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $41.04 / $45.14 / $55.40	Professional		$41.04	$45.14	$55.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $51.30 / $94.39	Professional		$27.00	$51.30	$94.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $193.10 / $194.94	Facility		$80.00	$193.10	$194.94
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $204.38 / $204.38 / $307.80	Professional		$204.38	$204.38	$307.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.37 / $41.04 / $56.22	Facility		$29.37	$41.04	$56.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.95 / $20.95 / $44.91	Professional		$20.95	$20.95	$44.91
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $77.45 / $77.45 / $77.45	Professional		$77.45	$77.45	$77.45
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $18.30 / $24.30 / $34.67	Professional		$18.30	$24.30	$34.67
United Facility/Professional Professional Modifier Low / Median / High Price $16.38 / $18.50 / $54.90	Professional		$16.38	$18.50	$54.90