Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.62 / $218.46 / $491.16	Facility		$62.62	$218.46	$491.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.04 / $64.12 / $471.77	Professional		$49.04	$64.12	$471.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.64 / $173.06 / $429.78	Facility		$78.64	$173.06	$429.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.18 / $85.00 / $201.27	Professional		$30.18	$85.00	$201.27
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $58.90 / $100.00 / $676.70	Facility		$58.90	$100.00	$676.70
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $34.33 / $49.04 / $123.28	Professional		$34.33	$49.04	$123.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.06 / $125.90 / $245.60	Facility		$52.06	$125.90	$245.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.02 / $63.24 / $307.74	Professional		$39.02	$63.24	$307.74
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $58.69 / $73.37 / $99.05	Professional		$58.69	$73.37	$99.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.03 / $84.38 / $161.41	Professional		$66.03	$84.38	$161.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $127.66 / $348.51 / $348.51	Facility		$127.66	$348.51	$348.51
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $366.85 / $366.85 / $550.28	Professional		$366.85	$366.85	$550.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.70 / $89.55 / $210.84	Facility		$58.70	$89.55	$210.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $84.38 / $204.65	Professional		$40.65	$84.38	$204.65
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $257.52 / $257.52 / $257.52	Professional		$257.52	$257.52	$257.52
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $58.70 / $66.03 / $99.77	Professional		$58.70	$66.03	$99.77
United Facility/Professional Professional Modifier Low / Median / High Price $30.82 / $31.68 / $147.25	Professional		$30.82	$31.68	$147.25