Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $173.78 / $363.08	Facility		$69.18	$173.78	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $38.90 / $213.80	Professional		$23.99	$38.90	$213.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $75.86 / $162.18	Facility		$18.62	$75.86	$162.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $28.18 / $89.13	Professional		$16.22	$28.18	$89.13
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $100.00 / $436.52	Facility		$56.23	$100.00	$436.52
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $37.15 / $100.00	Professional		$25.70	$37.15	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $54.95 / $120.23	Facility		$21.88	$54.95	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $39.81 / $64.57	Professional		$19.50	$39.81	$64.57
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $52.48	Professional		$32.36	$32.36	$52.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $32.36 / $72.44	Professional		$26.30	$32.36	$72.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $38.90 / $38.90	Professional		$19.50	$38.90	$38.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $38.90 / $100.00	Facility		$26.30	$38.90	$100.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $40.74 / $109.65	Professional		$19.50	$40.74	$109.65
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Professional		$114.82	$114.82	$114.82
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $33.11 / $54.95	Professional		$26.30	$33.11	$54.95
United Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $19.50 / $32.36	Facility		$14.79	$19.50	$32.36
United Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $19.50 / $64.57	Professional		$13.80	$19.50	$64.57