Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.66 / $133.72 / $302.20	Facility		$55.66	$133.72	$302.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.50 / $39.31 / $133.72	Professional		$32.50	$39.31	$133.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.37 / $113.36 / $312.00	Facility		$50.37	$113.36	$312.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.80 / $115.57 / $232.79	Professional		$18.80	$115.57	$232.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $33.97 / $100.00 / $132.54	Facility		$33.97	$100.00	$132.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $50.61 / $72.30 / $180.79	Professional		$50.61	$72.30	$180.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.47 / $81.26 / $157.33	Facility		$33.47	$81.26	$157.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.08 / $40.29 / $127.66	Professional		$25.08	$40.29	$127.66
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $51.70 / $63.45	Professional		$47.00	$51.70	$63.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.30 / $54.05 / $106.51	Professional		$42.30	$54.05	$106.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $81.78 / $225.86 / $225.86	Facility		$81.78	$225.86	$225.86
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $235.00 / $235.00 / $352.50	Professional		$235.00	$235.00	$352.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.19 / $61.71 / $151.53	Facility		$38.19	$61.71	$151.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.24 / $54.05 / $96.34	Professional		$31.24	$54.05	$96.34
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $164.97 / $164.97 / $164.97	Professional		$164.97	$164.97	$164.97
United Facility/Professional Professional Modifier Low / Median / High Price $19.73 / $21.23 / $120.93	Professional		$19.73	$21.23	$120.93