Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.90 / $35.51 / $174.89	Professional		$24.90	$35.51	$174.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.79 / $4.20 / $96.08	Facility		$3.79	$4.20	$96.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.95 / $55.19 / $78.30	Professional		$41.95	$55.19	$78.30
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $91.03 / $91.03 / $91.03	Facility		$91.03	$91.03	$91.03
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $32.76 / $37.75 / $68.67	Professional		$32.76	$37.75	$68.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.01 / $39.01 / $61.08	Facility		$39.01	$39.01	$61.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.15 / $39.01 / $67.50	Professional		$33.15	$39.01	$67.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $57.37 / $57.37 / $68.84	Professional		$57.37	$57.37	$68.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.29 / $49.34 / $95.15	Professional		$42.29	$49.34	$95.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $89.75 / $280.00 / $280.00	Facility		$89.75	$280.00	$280.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.82 / $40.49 / $76.89	Facility		$25.82	$40.49	$76.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.15 / $39.01 / $50.28	Professional		$33.15	$39.01	$50.28
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $114.40 / $114.40 / $114.40	Professional		$114.40	$114.40	$114.40
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $45.05 / $45.05 / $57.37	Professional		$45.05	$45.05	$57.37
United Facility/Professional Professional Modifier Low / Median / High Price $29.47 / $31.55 / $51.81	Professional		$29.47	$31.55	$51.81