Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.08 / $135.00 / $357.12	Facility		$111.08	$135.00	$357.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.66 / $135.00 / $357.12	Professional		$41.66	$135.00	$357.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.86 / $133.96 / $329.59	Facility		$60.86	$133.96	$329.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.22 / $22.88 / $83.31	Professional		$22.22	$22.88	$83.31
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $40.15 / $100.00 / $156.62	Facility		$40.15	$100.00	$156.62
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $25.27 / $36.10 / $100.00	Professional		$25.27	$36.10	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.79 / $79.78 / $185.92	Facility		$38.79	$79.78	$185.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.68 / $67.73 / $84.66	Professional		$32.68	$67.73	$84.66
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $55.54 / $55.54 / $99.00	Professional		$55.54	$55.54	$99.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.43 / $55.54 / $108.30	Professional		$44.43	$55.54	$108.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $90.10 / $263.82 / $263.82	Facility		$90.10	$263.82	$263.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.32 / $33.32 / $33.32	Professional		$33.32	$33.32	$33.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.43 / $66.65 / $159.31	Facility		$44.43	$66.65	$159.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.32 / $52.76 / $66.65	Professional		$33.32	$52.76	$66.65
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $194.94 / $194.94 / $194.94	Professional		$194.94	$194.94	$194.94
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $44.43 / $55.54 / $77.76	Professional		$44.43	$55.54	$77.76
United Facility/Professional Professional Modifier Low / Median / High Price $23.33 / $23.33 / $88.31	Professional		$23.33	$23.33	$88.31