Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $12.88 / $154.88	Facility		$10.96	$12.88	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $28.18 / $100.00	Professional		$12.88	$28.18	$100.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $19.95 / $60.26	Facility		$15.49	$19.95	$60.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $36.31 / $389.05	Professional		$13.18	$36.31	$389.05
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $63.10 / $85.11	Facility		$38.02	$63.10	$85.11
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $26.92 / $77.62	Professional		$18.62	$26.92	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $16.22	Professional		$16.22	$16.22	$16.22
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $36.31 / $40.74	Professional		$23.44	$36.31	$40.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $36.31 / $89.13	Professional		$33.11	$36.31	$89.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Professional		$36.31	$36.31	$36.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $25.70 / $56.23	Facility		$16.60	$25.70	$56.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $16.22 / $36.31	Professional		$14.13	$16.22	$36.31
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Professional		$67.61	$67.61	$67.61
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $30.90 / $40.74	Professional		$23.44	$30.90	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $34.67 / $102.33	Professional		$20.89	$34.67	$102.33