Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.86 / $16.23 / $121.14	Facility		$14.86	$16.23	$121.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.86 / $17.28 / $121.14	Professional		$14.86	$17.28	$121.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.25 / $53.91 / $134.38	Facility		$23.25	$53.91	$134.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.93 / $31.46 / $39.22	Professional		$22.93	$31.46	$39.22
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $43.53 / $72.90 / $95.29	Facility		$43.53	$72.90	$95.29
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $45.23 / $90.37 / $130.13	Professional		$45.23	$90.37	$130.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.50 / $25.50 / $25.50	Professional		$25.50	$25.50	$25.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $41.47 / $41.47 / $45.62	Professional		$41.47	$41.47	$45.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.01 / $47.00 / $102.24	Professional		$40.01	$47.00	$102.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $76.70 / $184.63 / $196.98	Facility		$76.70	$184.63	$196.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.25 / $27.18 / $47.69	Facility		$21.25	$27.18	$47.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.29 / $41.47 / $41.47	Professional		$18.29	$41.47	$41.47
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $79.23 / $79.23 / $79.23	Professional		$79.23	$79.23	$79.23
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $33.18 / $147.34 / $250.48	Professional		$33.18	$147.34	$250.48
United Facility/Professional Facility Modifier Low / Median / High Price $38.88 / $38.88 / $45.74	Facility		$38.88	$38.88	$45.74
United Facility/Professional Professional Modifier Low / Median / High Price $24.06 / $39.63 / $95.67	Professional		$24.06	$39.63	$95.67