Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.02 / $79.92 / $437.50	Professional		$56.02	$79.92	$437.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.84 / $9.80 / $247.67	Facility		$8.84	$9.80	$247.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.00 / $128.47 / $187.50	Professional		$98.00	$128.47	$187.50
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $212.91 / $212.91 / $212.91	Facility		$212.91	$212.91	$212.91
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $81.95 / $100.00 / $142.86	Professional		$81.95	$100.00	$142.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.30 / $100.30 / $142.86	Facility		$100.30	$100.30	$142.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.26 / $100.30 / $172.13	Professional		$85.26	$100.30	$172.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $140.87 / $140.87 / $169.04	Professional		$140.87	$140.87	$169.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $103.90 / $121.22 / $233.78	Professional		$103.90	$121.22	$233.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $194.09 / $719.88 / $719.88	Facility		$194.09	$719.88	$719.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.10 / $101.05 / $179.83	Facility		$58.10	$101.05	$179.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.26 / $100.30 / $116.64	Professional		$85.26	$100.30	$116.64
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $286.20 / $286.20 / $286.20	Professional		$286.20	$286.20	$286.20
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $116.12 / $116.12 / $140.87	Professional		$116.12	$116.12	$140.87
United Facility/Professional Professional Modifier Low / Median / High Price $69.33 / $75.65 / $152.99	Professional		$69.33	$75.65	$152.99