Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.94 / $197.61 / $1,827.00	Facility		$30.94	$197.61	$1,827.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.43 / $32.36 / $134.08	Professional		$26.43	$32.36	$134.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.75 / $169.00 / $876.00	Facility		$8.75	$169.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.20 / $35.81 / $69.75	Professional		$27.20	$35.81	$69.75
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $51.68 / $94.83 / $199.70	Facility		$51.68	$94.83	$199.70
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $27.25 / $34.20 / $92.02	Professional		$27.25	$34.20	$92.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.40 / $272.93 / $681.32	Facility		$50.40	$272.93	$681.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.98 / $38.04 / $81.09	Professional		$24.98	$38.04	$81.09
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $20.78 / $40.79 / $55.08	Professional		$20.78	$40.79	$55.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.91 / $40.47 / $68.26	Professional		$29.91	$40.47	$68.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $125.72 / $359.91 / $359.91	Facility		$125.72	$359.91	$359.91
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $204.50 / $204.50 / $264.38	Professional		$204.50	$204.50	$264.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.10 / $32.34 / $32.34	Professional		$22.10	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.04 / $42.22 / $81.52	Facility		$28.04	$42.22	$81.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.15 / $41.50 / $85.36	Professional		$26.15	$41.50	$85.36
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $100.26 / $100.26 / $100.26	Professional		$100.26	$100.26	$100.26
United Facility/Professional Facility Modifier Low / Median / High Price $36.36 / $36.36 / $36.36	Facility		$36.36	$36.36	$36.36
United Facility/Professional Professional Modifier Low / Median / High Price $21.02 / $31.81 / $76.69	Professional		$21.02	$31.81	$76.69