Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.55 / $191.90 / $984.96	Facility		$57.55	$191.90	$984.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.55 / $68.05 / $288.22	Professional		$57.55	$68.05	$288.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $98.24 / $208.13 / $486.00	Facility		$98.24	$208.13	$486.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.27 / $72.90 / $178.52	Professional		$45.27	$72.90	$178.52
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.27 / $113.29 / $258.48	Facility		$66.27	$113.29	$258.48
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $56.82 / $81.17 / $168.98	Professional		$56.82	$81.17	$168.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.33 / $158.47 / $319.11	Facility		$67.33	$158.47	$319.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.94 / $74.89 / $328.63	Professional		$50.94	$74.89	$328.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $66.30 / $91.66 / $123.74	Professional		$66.30	$91.66	$123.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $82.49 / $105.41 / $207.72	Professional		$82.49	$105.41	$207.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $159.49 / $435.39 / $435.39	Facility		$159.49	$435.39	$435.39
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $458.30 / $458.30 / $687.45	Professional		$458.30	$458.30	$687.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.99 / $109.99 / $109.99	Professional		$109.99	$109.99	$109.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $73.33 / $109.99 / $277.64	Facility		$73.33	$109.99	$277.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.98 / $107.60 / $251.38	Professional		$60.98	$107.60	$251.38
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $321.72 / $321.72 / $321.72	Professional		$321.72	$321.72	$321.72
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $67.63 / $82.49 / $112.71	Professional		$67.63	$82.49	$112.71
United Facility/Professional Professional Modifier Low / Median / High Price $38.50 / $52.53 / $202.39	Professional		$38.50	$52.53	$202.39