Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.79 / $111.37 / $741.82	Facility		$75.79	$111.37	$741.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.69 / $106.90 / $443.84	Professional		$71.69	$106.90	$443.84
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 $83.14 / $122.38 / $237.44	Professional		$83.14	$122.38	$237.44
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 $85.52 / $123.91 / $236.95	Professional		$85.52	$123.91	$236.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.00 / $139.75 / $250.29	Facility		$56.00	$139.75	$250.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.46 / $132.56 / $260.39	Professional		$86.46	$132.56	$260.39
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $49.52 / $93.66 / $167.39	Professional		$49.52	$93.66	$167.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $82.79 / $134.55 / $243.90	Professional		$82.79	$134.55	$243.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $380.72 / $403.85	Facility		$55.00	$380.72	$403.85
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $589.44 / $906.80 / $1,081.05	Professional		$589.44	$906.80	$1,081.05
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 $81.41 / $124.06 / $192.00	Facility		$81.41	$124.06	$192.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.12 / $140.33 / $292.75	Professional		$87.12	$140.33	$292.75
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $267.99 / $267.99 / $396.62	Professional		$267.99	$267.99	$396.62
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $55.46 / $84.18 / $168.96	Professional		$55.46	$84.18	$168.96
United Facility/Professional Facility Modifier Low / Median / High Price $545.00 / $1,533.00 / $6,323.00	Facility		$545.00	$1,533.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $94.19 / $121.80 / $272.31	Professional		$94.19	$121.80	$272.31