Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.35 / $149.87 / $528.77	Facility		$30.35	$149.87	$528.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.57 / $52.61 / $310.00	Professional		$50.57	$52.61	$310.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.41 / $158.44 / $384.79	Facility		$70.41	$158.44	$384.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.28 / $47.70 / $116.80	Professional		$26.28	$47.70	$116.80
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $47.49 / $100.00 / $185.25	Facility		$47.49	$100.00	$185.25
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $31.89 / $43.57 / $99.91	Professional		$31.89	$43.57	$99.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.76 / $113.58 / $219.91	Facility		$44.76	$113.58	$219.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.21 / $48.01 / $180.23	Professional		$36.21	$48.01	$180.23
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $65.69 / $72.26 / $88.68	Professional		$65.69	$72.26	$88.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $59.12 / $75.54 / $148.87	Professional		$59.12	$75.54	$148.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $114.30 / $312.02 / $312.02	Facility		$114.30	$312.02	$312.02
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $328.45 / $328.45 / $492.68	Professional		$328.45	$328.45	$492.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.83 / $78.83 / $78.83	Professional		$78.83	$78.83	$78.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.64 / $78.83 / $188.78	Facility		$50.64	$78.83	$188.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.60 / $72.26 / $150.66	Professional		$38.60	$72.26	$150.66
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $230.57 / $230.57 / $230.57	Professional		$230.57	$230.57	$230.57
United Facility/Professional Professional Modifier Low / Median / High Price $27.59 / $29.67 / $169.02	Professional		$27.59	$29.67	$169.02