Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $36.00 / $443.16	Facility		$36.00	$36.00	$443.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $36.00 / $443.16	Professional		$36.00	$36.00	$443.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.52 / $166.24 / $403.71	Facility		$75.52	$166.24	$403.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.40 / $33.38 / $103.38	Professional		$32.40	$33.38	$103.38
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $36.86 / $52.67 / $100.00	Professional		$36.86	$52.67	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.47 / $79.73 / $171.14	Facility		$45.47	$79.73	$171.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.68 / $83.84 / $104.80	Professional		$43.68	$83.84	$104.80
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $68.92 / $68.92 / $110.27	Professional		$68.92	$68.92	$110.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $55.14 / $68.92 / $134.38	Professional		$55.14	$68.92	$134.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $110.27 / $327.37 / $327.37	Facility		$110.27	$327.37	$327.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.46 / $34.46 / $34.46	Professional		$34.46	$34.46	$34.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.53 / $59.14 / $122.68	Facility		$36.53	$59.14	$122.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.91 / $68.92 / $102.14	Professional		$45.91	$68.92	$102.14
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $241.90 / $241.90 / $241.90	Professional		$241.90	$241.90	$241.90
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $55.14 / $68.92 / $96.49	Professional		$55.14	$68.92	$96.49
United Facility/Professional Professional Modifier Low / Median / High Price $28.95 / $34.03 / $136.93	Professional		$28.95	$34.03	$136.93