Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $33.88 / $234.42	Professional		$19.05	$33.88	$234.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.17 / $4.17 / $4.17	Facility		$4.17	$4.17	$4.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $47.86 / $128.82	Professional		$23.99	$47.86	$128.82
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $114.82	Facility		$75.86	$75.86	$114.82
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $50.12 / $229.09	Professional		$33.11	$50.12	$229.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $40.74 / $42.66	Facility		$37.15	$40.74	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $40.74 / $70.79	Professional		$34.67	$40.74	$70.79
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $60.26	Professional		$50.12	$50.12	$60.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $44.67 / $77.62	Professional		$38.90	$44.67	$77.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $295.12 / $295.12	Facility		$100.00	$295.12	$295.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $40.74 / $64.57	Facility		$20.42	$40.74	$64.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $38.90 / $41.69	Professional		$34.67	$38.90	$41.69
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Professional		$114.82	$114.82	$114.82
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12
United Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $19.05 / $39.81	Facility		$2.04	$19.05	$39.81
United Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $30.90 / $61.66	Professional		$23.99	$30.90	$61.66