Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.61 / $97.87 / $372.00	Professional		$68.61	$97.87	$372.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.69 / $11.85 / $293.36	Facility		$10.69	$11.85	$293.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.53 / $158.10 / $225.38	Professional		$118.53	$158.10	$225.38
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $260.75 / $260.75 / $260.75	Facility		$260.75	$260.75	$260.75
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $98.05 / $100.00 / $174.97	Professional		$98.05	$100.00	$174.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.47 / $114.47 / $174.97	Facility		$114.47	$114.47	$174.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.30 / $114.47 / $202.50	Professional		$97.30	$114.47	$202.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $166.83 / $166.83 / $200.20	Professional		$166.83	$166.83	$200.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $122.99 / $143.49 / $276.74	Professional		$122.99	$143.49	$276.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $218.30 / $821.01 / $821.01	Facility		$218.30	$821.01	$821.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $71.15 / $126.12 / $220.25	Facility		$71.15	$126.12	$220.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $97.30 / $114.47 / $165.00	Professional		$97.30	$114.47	$165.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $342.42 / $342.42 / $342.42	Professional		$342.42	$342.42	$342.42
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $137.54 / $137.54 / $166.83	Professional		$137.54	$137.54	$166.83
United Facility/Professional Professional Modifier Low / Median / High Price $85.37 / $92.30 / $155.07	Professional		$85.37	$92.30	$155.07