Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $20.89 / $144.54	Professional		$15.14	$20.89	$144.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.88 / $2.88 / $2.88	Facility		$2.88	$2.88	$2.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $31.62 / $79.43	Professional		$19.05	$31.62	$79.43
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $70.79	Facility		$58.88	$58.88	$70.79
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $25.12 / $141.25	Professional		$19.50	$25.12	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $38.02	Facility		$25.70	$25.70	$38.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $25.70 / $44.67	Professional		$21.88	$25.70	$44.67
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $43.65	Professional		$36.31	$36.31	$43.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $33.11 / $57.54	Professional		$28.18	$33.11	$57.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Facility		$186.21	$186.21	$186.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $26.30 / $51.29	Facility		$13.80	$26.30	$51.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $25.70 / $30.90	Professional		$21.88	$25.70	$30.90
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $36.31	Professional		$30.90	$30.90	$36.31
United Facility/Professional Facility Modifier Low / Median / High Price $1.51 / $12.59 / $23.99	Facility		$1.51	$12.59	$23.99
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $20.42 / $43.65	Professional		$14.79	$20.42	$43.65