Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.51 / $140.69 / $622.35	Facility		$31.51	$140.69	$622.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.25 / $103.80 / $204.03	Professional		$31.25	$103.80	$204.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.00 / $5,694.00 / $11,233.00	Facility		$2,137.00	$5,694.00	$11,233.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.67 / $45.31 / $112.87	Professional		$33.67	$45.31	$112.87
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $1,580.37	Facility		$66.00	$100.00	$1,580.37
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $35.85 / $99.55 / $208.75	Professional		$35.85	$99.55	$208.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.00 / $127.04 / $227.54	Facility		$56.00	$127.04	$227.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.07 / $112.99 / $246.15	Professional		$39.07	$112.99	$246.15
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $29.41 / $44.51 / $139.66	Professional		$29.41	$44.51	$139.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.52 / $88.61 / $182.50	Professional		$34.52	$88.61	$182.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $155.94 / $167.91	Facility		$55.00	$155.94	$167.91
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $343.42 / $348.31 / $848.16	Professional		$343.42	$348.31	$848.16
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 $40.20 / $88.37 / $157.12	Facility		$40.20	$88.37	$157.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.44 / $116.84 / $244.75	Professional		$39.44	$116.84	$244.75
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $115.46 / $115.46 / $319.82	Professional		$115.46	$115.46	$319.82
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $34.43 / $48.22 / $129.38	Professional		$34.43	$48.22	$129.38
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 $76.44 / $124.36 / $235.82	Professional		$76.44	$124.36	$235.82