Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.85 / $42.58 / $218.71	Professional		$29.85	$42.58	$218.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.66 / $5.16 / $120.36	Facility		$4.66	$5.16	$120.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.57 / $68.77 / $93.89	Professional		$51.57	$68.77	$93.89
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $113.45 / $113.45 / $113.45	Facility		$113.45	$113.45	$113.45
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $40.97 / $57.08 / $85.59	Professional		$40.97	$57.08	$85.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.69 / $48.69 / $76.13	Facility		$48.69	$48.69	$76.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.39 / $48.69 / $86.63	Professional		$41.39	$48.69	$86.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $71.58 / $71.58 / $85.90	Professional		$71.58	$71.58	$85.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.76 / $61.55 / $118.71	Professional		$52.76	$61.55	$118.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $102.28 / $349.46 / $349.46	Facility		$102.28	$349.46	$349.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.95 / $51.29 / $95.84	Facility		$30.95	$51.29	$95.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.39 / $48.69 / $63.72	Professional		$41.39	$48.69	$63.72
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $143.07 / $143.07 / $143.07	Professional		$143.07	$143.07	$143.07
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $56.43 / $56.43 / $71.58	Professional		$56.43	$56.43	$71.58
United Facility/Professional Professional Modifier Low / Median / High Price $36.77 / $37.82 / $67.23	Professional		$36.77	$37.82	$67.23