Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.44 / $20.12 / $107.15	Professional		$13.44	$20.12	$107.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.52 / $2.80 / $63.64	Facility		$2.52	$2.80	$63.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.34 / $30.20 / $48.54	Professional		$26.34	$30.20	$48.54
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $44.15 / $44.15 / $44.15	Facility		$44.15	$44.15	$44.15
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $20.07 / $22.98 / $37.86	Professional		$20.07	$22.98	$37.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.68 / $24.94 / $27.30	Facility		$21.68	$24.94	$27.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.20 / $24.94 / $43.88	Professional		$21.20	$24.94	$43.88
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $29.03 / $29.03 / $34.84	Professional		$29.03	$29.03	$34.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.38 / $26.11 / $50.36	Professional		$22.38	$26.11	$50.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $76.00 / $177.61 / $177.61	Facility		$76.00	$177.61	$177.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.94 / $25.50 / $37.29	Facility		$13.94	$25.50	$37.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.20 / $24.94 / $31.71	Professional		$21.20	$24.94	$31.71
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $70.09 / $70.09 / $70.09	Professional		$70.09	$70.09	$70.09
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.03 / $29.03 / $29.84	Professional		$29.03	$29.03	$29.84
United Facility/Professional Professional Modifier Low / Median / High Price $15.44 / $18.53 / $31.74	Professional		$15.44	$18.53	$31.74