Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.64 / $44.49 / $265.24	Facility		$28.64	$44.49	$265.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.33 / $41.16 / $158.66	Professional		$27.33	$41.16	$158.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,464.00 / $8,976.00	Facility		$1,723.00	$4,464.00	$8,976.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.02 / $46.15 / $99.57	Professional		$34.02	$46.15	$99.57
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $1,581.82	Facility		$66.00	$100.00	$1,581.82
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $35.25 / $54.32 / $100.23	Professional		$35.25	$54.32	$100.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.11 / $45.19 / $80.79	Facility		$45.11	$45.19	$80.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.43 / $51.66 / $93.80	Professional		$32.43	$51.66	$93.80
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $30.73 / $50.63 / $71.84	Professional		$30.73	$50.63	$71.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.63 / $46.93 / $84.97	Professional		$27.63	$46.93	$84.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $125.66 / $135.85	Facility		$55.00	$125.66	$135.85
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $205.04 / $321.92 / $364.20	Professional		$205.04	$321.92	$364.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.00 / $46.52 / $71.68	Facility		$31.00	$46.52	$71.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.36 / $54.99 / $102.94	Professional		$33.36	$54.99	$102.94
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $94.14 / $94.14 / $142.22	Professional		$94.14	$94.14	$142.22
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $27.94 / $52.66 / $91.14	Professional		$27.94	$52.66	$91.14
United Facility/Professional Facility Modifier Low / Median / High Price $526.00 / $1,523.00 / $5,830.00	Facility		$526.00	$1,523.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $34.44 / $49.28 / $97.48	Professional		$34.44	$49.28	$97.48