Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.15 / $347.65 / $1,827.00	Facility		$124.15	$347.65	$1,827.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.94 / $68.33 / $340.30	Professional		$46.94	$68.33	$340.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.82 / $285.57 / $876.00	Facility		$162.82	$285.57	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.23 / $191.80 / $362.86	Professional		$97.23	$191.80	$362.86
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $381.71 / $1,737.08	Facility		$59.40	$381.71	$1,737.08
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $101.89 / $160.66 / $351.80	Professional		$101.89	$160.66	$351.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.90 / $916.61 / $2,433.23	Facility		$80.90	$916.61	$2,433.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.08 / $108.70 / $302.37	Professional		$51.08	$108.70	$302.37
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $50.04 / $63.80 / $86.13	Professional		$50.04	$63.80	$86.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.59 / $67.69 / $118.48	Professional		$52.59	$67.69	$118.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $317.13 / $598.83 / $598.83	Facility		$317.13	$598.83	$598.83
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,895.10 / $2,895.10 / $2,895.10	Professional		$2,895.10	$2,895.10	$2,895.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $64.68	Professional		$32.34	$32.34	$64.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.27 / $104.15 / $398.64	Facility		$57.27	$104.15	$398.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $53.58 / $120.31 / $271.56	Professional		$53.58	$120.31	$271.56
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $195.80 / $195.80 / $195.80	Professional		$195.80	$195.80	$195.80
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $51.52 / $70.84 / $422.99	Professional		$51.52	$70.84	$422.99
United Facility/Professional Facility Modifier Low / Median / High Price $65.84 / $65.84 / $65.84	Facility		$65.84	$65.84	$65.84
United Facility/Professional Professional Modifier Low / Median / High Price $62.07 / $86.90 / $235.59	Professional		$62.07	$86.90	$235.59