Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.38 / $236.09 / $1,218.55	Facility		$48.38	$236.09	$1,218.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.82 / $53.54 / $1,218.55	Professional		$38.82	$53.54	$1,218.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $201.05 / $385.96 / $934.28	Facility		$201.05	$385.96	$934.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.11 / $75.80 / $147.81	Professional		$34.11	$75.80	$147.81
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.90 / $100.00 / $581.57	Facility		$59.90	$100.00	$581.57
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $26.83 / $38.33 / $100.00	Professional		$26.83	$38.33	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.38 / $245.24 / $610.97	Facility		$59.38	$245.24	$610.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $202.73 / $288.58	Professional		$38.54	$202.73	$288.58
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $48.52 / $189.51 / $208.46	Professional		$48.52	$189.51	$208.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.61 / $189.51 / $369.54	Professional		$151.61	$189.51	$369.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $314.81 / $900.17 / $900.17	Facility		$314.81	$900.17	$900.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $94.75 / $94.75 / $94.75	Professional		$94.75	$94.75	$94.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.59 / $151.61 / $385.49	Facility		$69.59	$151.61	$385.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.95 / $111.41 / $227.41	Professional		$38.95	$111.41	$227.41
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $665.18 / $665.18 / $665.18	Professional		$665.18	$665.18	$665.18
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $84.42 / $140.69 / $170.56	Professional		$84.42	$140.69	$170.56
United Facility/Professional Professional Modifier Low / Median / High Price $30.68 / $79.59 / $364.05	Professional		$30.68	$79.59	$364.05