Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.51 / $56.58 / $1,827.00	Facility		$43.51	$56.58	$1,827.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.77 / $54.22 / $204.38	Professional		$39.77	$54.22	$204.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.94 / $308.91 / $876.00	Facility		$18.94	$308.91	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.23 / $60.87 / $121.55	Professional		$46.23	$60.87	$121.55
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $57.10 / $100.00 / $316.70	Facility		$57.10	$100.00	$316.70
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $48.96 / $63.28 / $126.30	Professional		$48.96	$63.28	$126.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.31 / $1,226.92 / $2,885.26	Facility		$93.31	$1,226.92	$2,885.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.57 / $64.50 / $153.38	Professional		$46.57	$64.50	$153.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $45.84 / $80.19 / $108.26	Professional		$45.84	$80.19	$108.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.71 / $78.98 / $134.13	Professional		$58.71	$78.98	$134.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $131.16 / $359.91 / $359.91	Facility		$131.16	$359.91	$359.91
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $397.13 / $397.13 / $514.50	Professional		$397.13	$397.13	$514.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $41.05	Professional		$32.34	$32.34	$41.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.01 / $80.22 / $143.47	Facility		$52.01	$80.22	$143.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.31 / $76.63 / $165.04	Professional		$47.31	$76.63	$165.04
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $188.32 / $188.32 / $188.32	Professional		$188.32	$188.32	$188.32
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $64.86 / $89.18 / $111.78	Professional		$64.86	$89.18	$111.78
United Facility/Professional Facility Modifier Low / Median / High Price $71.20 / $315.00 / $315.00	Facility		$71.20	$315.00	$315.00
United Facility/Professional Professional Modifier Low / Median / High Price $35.53 / $57.38 / $169.72	Professional		$35.53	$57.38	$169.72