Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.86 / $106.30 / $243.19	Facility		$24.86	$106.30	$243.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.48 / $24.86 / $162.10	Professional		$17.48	$24.86	$162.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.62 / $60.81 / $293.00	Facility		$27.62	$60.81	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.62 / $18.55 / $60.41	Professional		$11.62	$18.55	$60.41
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $50.60 / $91.71 / $299.72	Facility		$50.60	$91.71	$299.72
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $14.60 / $20.85 / $67.56	Professional		$14.60	$20.85	$67.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.39 / $33.11 / $84.41	Facility		$16.39	$33.11	$84.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.28 / $28.91 / $44.57	Professional		$15.28	$28.91	$44.57
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $20.92 / $25.21 / $40.34	Professional		$20.92	$25.21	$40.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.17 / $25.21 / $54.96	Professional		$20.17	$25.21	$54.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $119.75 / $119.75	Facility		$55.00	$119.75	$119.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.60 / $12.60 / $12.60	Professional		$12.60	$12.60	$12.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.91 / $29.17 / $75.63	Facility		$18.91	$29.17	$75.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.69 / $25.21 / $50.42	Professional		$16.69	$25.21	$50.42
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $88.48 / $88.48 / $88.48	Professional		$88.48	$88.48	$88.48
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $20.17 / $25.21 / $35.29	Professional		$20.17	$25.21	$35.29
United Facility/Professional Professional Modifier Low / Median / High Price $10.59 / $14.01 / $47.35	Professional		$10.59	$14.01	$47.35