Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.51 / $36.39 / $68.09	Professional		$25.51	$36.39	$68.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.17 / $4.62 / $141.08	Facility		$4.17	$4.62	$141.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.24 / $58.80 / $82.69	Professional		$46.24	$58.80	$82.69
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $98.61 / $98.61 / $98.61	Facility		$98.61	$98.61	$98.61
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $44.10 / $44.40 / $83.66	Professional		$44.10	$44.40	$83.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.70 / $54.06 / $70.95	Facility		$50.70	$54.06	$70.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.95 / $54.06 / $96.00	Professional		$45.95	$54.06	$96.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $66.17 / $66.17 / $79.40	Professional		$66.17	$66.17	$79.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $49.79 / $58.09 / $112.04	Professional		$49.79	$58.09	$112.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $124.32 / $387.88 / $392.73	Facility		$124.32	$387.88	$392.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.46 / $54.06 / $83.30	Facility		$26.46	$54.06	$83.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.95 / $54.06 / $64.98	Professional		$45.95	$54.06	$64.98
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $153.99 / $153.99 / $153.99	Professional		$153.99	$153.99	$153.99
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $66.14 / $66.14 / $66.17	Professional		$66.14	$66.14	$66.17
United Facility/Professional Professional Modifier Low / Median / High Price $32.11 / $40.70 / $72.36	Professional		$32.11	$40.70	$72.36