Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.21 / $99.23 / $227.01	Facility		$23.21	$99.23	$227.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.32 / $25.68 / $141.40	Professional		$16.32	$25.68	$141.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.09 / $53.04 / $293.00	Facility		$24.09	$53.04	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.86 / $17.32 / $56.37	Professional		$10.86	$17.32	$56.37
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $48.90 / $89.10 / $279.77	Facility		$48.90	$89.10	$279.77
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $13.63 / $19.47 / $63.07	Professional		$13.63	$19.47	$63.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.21 / $28.87 / $73.59	Facility		$15.21	$28.87	$73.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.43 / $26.79 / $39.15	Professional		$14.43	$26.79	$39.15
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $19.54 / $21.99 / $35.18	Professional		$19.54	$21.99	$35.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.59 / $21.99 / $47.94	Professional		$17.59	$21.99	$47.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $157.38 / $200.11 / $200.11	Facility		$157.38	$200.11	$200.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.99 / $10.99 / $10.99	Professional		$10.99	$10.99	$10.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.23 / $24.97 / $62.83	Facility		$18.23	$24.97	$62.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.61 / $21.99 / $43.98	Professional		$14.61	$21.99	$43.98
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $77.18 / $77.18 / $77.18	Professional		$77.18	$77.18	$77.18
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $17.59 / $21.99 / $30.79	Professional		$17.59	$21.99	$30.79
United Facility/Professional Facility Modifier Low / Median / High Price $9.90 / $15.09 / $16.23	Facility		$9.90	$15.09	$16.23
United Facility/Professional Professional Modifier Low / Median / High Price $9.24 / $13.19 / $44.23	Professional		$9.24	$13.19	$44.23