Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $125.89 / $251.19	Facility		$47.86	$125.89	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $60.26 / $501.19	Professional		$21.88	$60.26	$501.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $177.83 / $380.19	Facility		$34.67	$177.83	$380.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $30.20 / $97.72	Professional		$23.44	$30.20	$97.72
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $100.00 / $295.12	Facility		$56.23	$100.00	$295.12
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $24.55 / $93.33	Professional		$17.38	$24.55	$93.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $131.83 / $257.04	Facility		$48.98	$131.83	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $44.67 / $123.03	Professional		$16.22	$44.67	$123.03
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $83.18 / $102.33	Professional		$75.86	$83.18	$102.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $79.43 / $131.83	Professional		$60.26	$79.43	$131.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Facility		$363.08	$363.08	$363.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $562.34 / $562.34	Professional		$380.19	$562.34	$562.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $91.20 / $91.20	Professional		$45.71	$91.20	$91.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $75.86 / $190.55	Facility		$38.02	$75.86	$190.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $44.67 / $134.90	Professional		$16.22	$44.67	$134.90
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Professional		$263.03	$263.03	$263.03
United Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $41.69 / $75.86	Facility		$15.85	$41.69	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $31.62 / $117.49	Professional		$12.59	$31.62	$117.49