Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $28.44 / $152.19	Professional		$19.00	$28.44	$152.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.10 / $3.44 / $89.99	Facility		$3.10	$3.44	$89.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.44 / $43.55 / $59.79	Professional		$34.44	$43.55	$59.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $62.45 / $62.45 / $62.45	Facility		$62.45	$62.45	$62.45
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $28.51 / $28.51 / $54.25	Professional		$28.51	$28.51	$54.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.44 / $36.44 / $45.71	Facility		$36.44	$36.44	$45.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.97 / $36.44 / $61.13	Professional		$30.97	$36.44	$61.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $41.90 / $41.90 / $50.28	Professional		$41.90	$41.90	$50.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.64 / $36.92 / $71.20	Professional		$31.64	$36.92	$71.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $87.04 / $259.69 / $259.69	Facility		$87.04	$259.69	$259.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.71 / $36.44 / $52.74	Facility		$19.71	$36.44	$52.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.97 / $36.44 / $37.79	Professional		$30.97	$36.44	$37.79
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $99.56 / $99.56 / $99.56	Professional		$99.56	$99.56	$99.56
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $41.90 / $41.90 / $42.19	Professional		$41.90	$41.90	$42.19
United Facility/Professional Professional Modifier Low / Median / High Price $23.65 / $27.47 / $52.03	Professional		$23.65	$27.47	$52.03