Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.52 / $27.84 / $49.22	Professional		$19.52	$27.84	$49.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.16 / $3.50 / $100.54	Facility		$3.16	$3.50	$100.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.33 / $46.91 / $82.83	Professional		$36.33	$46.91	$82.83
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $74.20 / $74.20 / $74.20	Facility		$74.20	$74.20	$74.20
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $31.88 / $38.63 / $61.33	Professional		$31.88	$38.63	$61.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.44 / $38.63 / $49.81	Facility		$36.44	$38.63	$49.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.84 / $38.63 / $68.25	Professional		$32.84	$38.63	$68.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $49.46 / $49.46 / $59.35	Professional		$49.46	$49.46	$59.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.49 / $42.57 / $82.09	Professional		$36.49	$42.57	$82.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $91.52 / $277.14 / $279.87	Facility		$91.52	$277.14	$279.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.23 / $38.63 / $62.70	Facility		$20.23	$38.63	$62.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.84 / $38.63 / $43.74	Professional		$32.84	$38.63	$43.74
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $111.32 / $111.32 / $111.32	Professional		$111.32	$111.32	$111.32
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $47.14 / $47.14 / $49.46	Professional		$47.14	$47.14	$49.46
United Facility/Professional Professional Modifier Low / Median / High Price $24.59 / $29.42 / $59.51	Professional		$24.59	$29.42	$59.51