Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $89.13 / $575.44	Facility		$37.15	$89.13	$575.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $64.57 / $213.80	Professional		$32.36	$64.57	$213.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $21.38 / $177.83	Facility		$19.05	$21.38	$177.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $58.88 / $125.89	Professional		$38.90	$58.88	$125.89
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $194.98 / $660.69	Facility		$58.88	$194.98	$660.69
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $70.79 / $131.83	Professional		$48.98	$70.79	$131.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $89.13 / $6,165.95	Facility		$79.43	$89.13	$6,165.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $52.48 / $120.23	Professional		$29.51	$52.48	$120.23
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $42.66 / $51.29	Professional		$28.84	$42.66	$51.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $45.71 / $91.20	Professional		$36.31	$45.71	$91.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $537.03 / $537.03	Facility		$309.03	$537.03	$537.03
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Professional		$794.33	$794.33	$794.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $21.38 / $38.02	Professional		$13.80	$21.38	$38.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $54.95 / $128.82	Facility		$38.02	$54.95	$128.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $54.95 / $117.49	Professional		$29.51	$54.95	$117.49
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Professional		$107.15	$107.15	$107.15
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $47.86 / $134.90	Professional		$35.48	$47.86	$134.90
United Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $79.43	Facility		$30.20	$30.20	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $37.15 / $97.72	Professional		$30.20	$37.15	$97.72