Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.02 / $24.83 / $42.65	Professional		$16.02	$24.83	$42.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.85 / $3.16 / $75.03	Facility		$2.85	$3.16	$75.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.56 / $35.00 / $50.98	Professional		$31.56	$35.00	$50.98
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.19 / $66.19 / $66.19	Facility		$66.19	$66.19	$66.19
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $22.61 / $25.02 / $44.41	Professional		$22.61	$25.02	$44.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.99 / $29.99 / $44.41	Facility		$29.99	$29.99	$44.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.49 / $29.99 / $52.88	Professional		$25.49	$29.99	$52.88
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $35.26 / $35.26 / $42.31	Professional		$35.26	$35.26	$42.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.65 / $36.93 / $71.20	Professional		$31.65	$36.93	$71.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $76.00 / $215.23 / $215.23	Facility		$76.00	$215.23	$215.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.56 / $30.85 / $55.90	Facility		$15.56	$30.85	$55.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.49 / $29.99 / $37.79	Professional		$25.49	$29.99	$37.79
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $87.37 / $87.37 / $87.37	Professional		$87.37	$87.37	$87.37
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $35.18 / $35.18 / $35.26	Professional		$35.18	$35.18	$35.26
United Facility/Professional Facility Modifier Low / Median / High Price $1.67 / $15.56 / $27.15	Facility		$1.67	$15.56	$27.15
United Facility/Professional Professional Modifier Low / Median / High Price $18.84 / $22.60 / $46.70	Professional		$18.84	$22.60	$46.70