Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.04 / $62.07 / $165.12	Professional		$44.04	$62.07	$165.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.49 / $7.19 / $166.50	Facility		$6.49	$7.19	$166.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.84 / $101.49 / $137.60	Professional		$71.84	$101.49	$137.60
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $170.23 / $170.23 / $170.23	Facility		$170.23	$170.23	$170.23
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $114.22	Professional		$100.00	$100.00	$114.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.45 / $66.45 / $114.22	Facility		$66.45	$66.45	$114.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.49 / $66.45 / $116.63	Professional		$56.49	$66.45	$116.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $103.14 / $103.14 / $123.77	Professional		$103.14	$103.14	$123.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $88.63 / $170.94	Professional		$75.97	$88.63	$170.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $131.94 / $476.61 / $476.61	Facility		$131.94	$476.61	$476.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.67 / $72.67 / $143.78	Facility		$45.67	$72.67	$143.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.49 / $66.45 / $87.23	Professional		$56.49	$66.45	$87.23
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $203.21 / $203.21 / $203.21	Professional		$203.21	$203.21	$203.21
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $78.06 / $78.06 / $103.14	Professional		$78.06	$78.06	$103.14
United Facility/Professional Professional Modifier Low / Median / High Price $51.86 / $55.70 / $92.03	Professional		$51.86	$55.70	$92.03