Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.14 / $25.66 / $158.72	Professional		$17.14	$25.66	$158.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.23 / $3.58 / $93.86	Facility		$3.23	$3.58	$93.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.79 / $41.19 / $66.31	Professional		$35.79	$41.19	$66.31
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.11 / $65.11 / $65.11	Facility		$65.11	$65.11	$65.11
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $29.73 / $31.81 / $56.08	Professional		$29.73	$31.81	$56.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.97 / $36.74 / $43.70	Facility		$31.97	$36.74	$43.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.23 / $36.74 / $64.88	Professional		$31.23	$36.74	$64.88
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $43.70 / $43.70 / $52.44	Professional		$43.70	$43.70	$52.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.01 / $38.51 / $74.26	Professional		$33.01	$38.51	$74.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $87.42 / $261.19 / $261.30	Facility		$87.42	$261.19	$261.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.77 / $36.74 / $55.01	Facility		$17.77	$36.74	$55.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.23 / $36.74 / $40.29	Professional		$31.23	$36.74	$40.29
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $103.82 / $103.82 / $103.82	Professional		$103.82	$103.82	$103.82
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $43.70 / $43.70 / $44.01	Professional		$43.70	$43.70	$44.01
United Facility/Professional Professional Modifier Low / Median / High Price $21.21 / $27.44 / $47.02	Professional		$21.21	$27.44	$47.02