Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.41 / $21.98 / $116.49	Professional		$15.41	$21.98	$116.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.59 / $2.87 / $64.53	Facility		$2.59	$2.87	$64.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.01 / $31.34 / $47.62	Professional		$26.01	$31.34	$47.62
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.55 / $59.55 / $59.55	Facility		$59.55	$59.55	$59.55
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $19.66 / $21.82 / $39.96	Professional		$19.66	$21.82	$39.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.90 / $25.90 / $49.83	Facility		$25.90	$25.90	$49.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.02 / $25.90 / $45.75	Professional		$22.02	$25.90	$45.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $36.00 / $43.20	Professional		$36.00	$36.00	$43.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.85 / $32.49 / $62.67	Professional		$27.85	$32.49	$62.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $185.84 / $185.84	Facility		$80.00	$185.84	$185.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.77 / $26.37 / $50.29	Facility		$13.77	$26.37	$50.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.02 / $25.90 / $33.47	Professional		$22.02	$25.90	$33.47
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $76.20 / $76.20 / $76.20	Professional		$76.20	$76.20	$76.20
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $30.26 / $30.26 / $36.00	Professional		$30.26	$30.26	$36.00
United Facility/Professional Professional Modifier Low / Median / High Price $16.44 / $19.72 / $34.51	Professional		$16.44	$19.72	$34.51