Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.99 / $17.10 / $109.51	Professional		$11.99	$17.10	$109.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.25 / $2.50 / $65.66	Facility		$2.25	$2.50	$65.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.97 / $27.63 / $40.60	Professional		$24.97	$27.63	$40.60
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $45.55 / $45.55 / $45.55	Facility		$45.55	$45.55	$45.55
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $19.03 / $20.51 / $36.56	Professional		$19.03	$20.51	$36.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.18 / $26.73 / $37.47	Facility		$19.18	$26.73	$37.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.97 / $31.34 / $44.63	Professional		$15.97	$31.34	$44.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $29.57 / $29.57 / $35.47	Professional		$29.57	$29.57	$35.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.09 / $26.94 / $51.95	Professional		$23.09	$26.94	$51.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $76.00 / $180.74 / $182.78	Facility		$76.00	$180.74	$182.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.43 / $25.57 / $38.47	Facility		$12.43	$25.57	$38.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.97 / $26.73 / $32.71	Professional		$15.97	$26.73	$32.71
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $71.64 / $71.64 / $71.64	Professional		$71.64	$71.64	$71.64
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.57 / $29.57 / $30.78	Professional		$29.57	$29.57	$30.78
United Facility/Professional Professional Modifier Low / Median / High Price $17.80 / $18.94 / $41.30	Professional		$17.80	$18.94	$41.30