Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.56 / $47.87 / $96.90	Professional		$33.56	$47.87	$96.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.49 / $6.08 / $145.38	Facility		$5.49	$6.08	$145.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.83 / $77.33 / $103.74	Professional		$60.83	$77.33	$103.74
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $129.71 / $129.71 / $129.71	Facility		$129.71	$129.71	$129.71
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $48.65 / $48.65 / $100.00	Professional		$48.65	$48.65	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $87.04	Facility		$57.54	$57.54	$87.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.91 / $57.54 / $102.75	Professional		$48.91	$57.54	$102.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $83.22 / $83.22 / $99.86	Professional		$83.22	$83.22	$99.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.36 / $71.58 / $138.05	Professional		$61.36	$71.58	$138.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $110.78 / $413.01 / $413.01	Facility		$110.78	$413.01	$413.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.79 / $60.45 / $109.57	Facility		$34.79	$60.45	$109.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.91 / $57.54 / $73.44	Professional		$48.91	$57.54	$73.44
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $169.88 / $169.88 / $169.88	Professional		$169.88	$169.88	$169.88
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $68.16 / $68.16 / $83.22	Professional		$68.16	$68.16	$83.22
United Facility/Professional Professional Modifier Low / Median / High Price $41.53 / $44.08 / $75.20	Professional		$41.53	$44.08	$75.20