Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.82 / $76.11 / $528.73	Facility		$39.82	$76.11	$528.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.82 / $76.09 / $226.99	Professional		$39.82	$76.09	$226.99
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 $43.56 / $62.20 / $140.13	Professional		$43.56	$62.20	$140.13
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 $45.18 / $79.34 / $144.97	Professional		$45.18	$79.34	$144.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.00 / $119.42 / $213.89	Facility		$56.00	$119.42	$213.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.91 / $85.76 / $169.15	Professional		$45.91	$85.76	$169.15
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $49.04 / $90.10 / $136.34	Professional		$49.04	$90.10	$136.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.31 / $93.10 / $174.19	Professional		$44.31	$93.10	$174.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $202.80 / $216.51	Facility		$55.00	$202.80	$216.51
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $340.74 / $643.36 / $767.78	Professional		$340.74	$643.36	$767.78
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 $43.21 / $73.78 / $137.44	Facility		$43.21	$73.78	$137.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.26 / $89.58 / $197.43	Professional		$47.26	$89.58	$197.43
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $140.83 / $140.83 / $275.48	Professional		$140.83	$140.83	$275.48
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $44.50 / $102.15 / $162.16	Professional		$44.50	$102.15	$162.16
United Facility/Professional Facility Modifier Low / Median / High Price $548.00 / $1,533.00 / $6,323.00	Facility		$548.00	$1,533.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $64.26 / $83.65 / $191.46	Professional		$64.26	$83.65	$191.46