Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.66 / $109.70 / $250.97	Facility		$25.66	$109.70	$250.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $28.39 / $156.25	Professional		$18.05	$28.39	$156.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.63 / $58.61 / $293.00	Facility		$26.63	$58.61	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $19.14 / $56.57	Professional		$12.00	$19.14	$56.57
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $51.30 / $92.60 / $309.38	Facility		$51.30	$92.60	$309.38
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $15.07 / $21.53 / $69.73	Professional		$15.07	$21.53	$69.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.84 / $31.92 / $81.37	Facility		$16.84	$31.92	$81.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.92 / $29.66 / $43.37	Professional		$15.92	$29.66	$43.37
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $21.60 / $24.30 / $38.88	Professional		$21.60	$24.30	$38.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.44 / $24.30 / $52.97	Professional		$19.44	$24.30	$52.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $98.60 / $145.00 / $173.00	Facility		$98.60	$145.00	$173.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.15 / $12.15 / $12.15	Professional		$12.15	$12.15	$12.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.17 / $29.16 / $78.37	Facility		$20.17	$29.16	$78.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.23 / $24.30 / $48.60	Professional		$16.23	$24.30	$48.60
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $85.29 / $85.29 / $85.29	Professional		$85.29	$85.29	$85.29
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $19.44 / $24.30 / $34.02	Professional		$19.44	$24.30	$34.02
United Facility/Professional Professional Modifier Low / Median / High Price $10.21 / $14.46 / $48.37	Professional		$10.21	$14.46	$48.37