Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $389.05 / $645.65	Facility		$120.23	$389.05	$645.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $75.86 / $89.13	Professional		$61.66	$75.86	$89.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $281.84 / $478.63	Facility		$147.91	$281.84	$478.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $120.23 / $213.80	Professional		$45.71	$120.23	$213.80
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $223.87 / $912.01	Facility		$61.66	$223.87	$912.01
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $91.20 / $234.42	Professional		$67.61	$91.20	$234.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $151.36 / $302.00	Facility		$64.57	$151.36	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $131.83 / $2,137.96	Professional		$45.71	$131.83	$2,137.96
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $114.82 / $181.97	Professional		$100.00	$114.82	$181.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $114.82 / $199.53	Professional		$91.20	$114.82	$199.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Professional		$19.95	$19.95	$19.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $112.20 / $257.04	Facility		$42.66	$112.20	$257.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $91.20 / $2,137.96	Professional		$28.18	$91.20	$2,137.96
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
United Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $63.10 / $114.82	Facility		$47.86	$63.10	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $40.74 / $162.18	Professional		$36.31	$40.74	$162.18