Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.15 / $82.81 / $597.45	Facility		$58.15	$82.81	$597.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.72 / $82.81 / $262.39	Professional		$57.72	$82.81	$262.39
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 $66.26 / $91.67 / $193.62	Professional		$66.26	$91.67	$193.62
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 $67.97 / $98.50 / $188.80	Professional		$67.97	$98.50	$188.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.00 / $109.27 / $195.70	Facility		$56.00	$109.27	$195.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.36 / $105.75 / $199.18	Professional		$70.36	$105.75	$199.18
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $72.97 / $87.56 / $138.03	Professional		$72.97	$87.56	$138.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $68.89 / $108.09 / $203.16	Professional		$68.89	$108.09	$203.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $313.37 / $336.54	Facility		$55.00	$313.37	$336.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $491.60 / $727.84 / $864.30	Professional		$491.60	$727.84	$864.30
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 $66.95 / $101.53 / $153.81	Facility		$66.95	$101.53	$153.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $71.87 / $112.04 / $234.41	Professional		$71.87	$112.04	$234.41
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $224.44 / $224.44 / $320.61	Professional		$224.44	$224.44	$320.61
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $68.98 / $98.14 / $134.94	Professional		$68.98	$98.14	$134.94
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 $76.14 / $97.08 / $208.11	Professional		$76.14	$97.08	$208.11