Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.84 / $263.42 / $1,265.26	Facility		$27.84	$263.42	$1,265.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.89 / $28.86 / $136.00	Professional		$24.89	$28.86	$136.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.41 / $169.00 / $876.00	Facility		$10.41	$169.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.95 / $36.71 / $73.89	Professional		$26.95	$36.71	$73.89
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $53.00 / $95.60 / $209.05	Facility		$53.00	$95.60	$209.05
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $25.61 / $32.45 / $83.12	Professional		$25.61	$32.45	$83.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.07 / $225.99 / $483.01	Facility		$44.07	$225.99	$483.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.25 / $36.78 / $77.81	Professional		$24.25	$36.78	$77.81
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $23.34 / $37.83 / $51.07	Professional		$23.34	$37.83	$51.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.86 / $37.70 / $65.56	Professional		$27.86	$37.70	$65.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $268.48 / $359.91 / $359.91	Facility		$268.48	$359.91	$359.91
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $191.45 / $191.45 / $246.90	Professional		$191.45	$191.45	$246.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.58 / $32.34 / $32.34	Professional		$23.58	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.91 / $39.82 / $75.66	Facility		$26.91	$39.82	$75.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.09 / $40.47 / $79.97	Professional		$25.09	$40.47	$79.97
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $95.36 / $95.36 / $95.36	Professional		$95.36	$95.36	$95.36
United Facility/Professional Facility Modifier Low / Median / High Price $33.69 / $145.15 / $223.15	Facility		$33.69	$145.15	$223.15
United Facility/Professional Professional Modifier Low / Median / High Price $21.32 / $31.08 / $73.08	Professional		$21.32	$31.08	$73.08