Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.21 / $213.25 / $539.21	Facility		$61.21	$213.25	$539.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.06 / $48.97 / $372.94	Professional		$43.06	$48.97	$372.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.55 / $139.90 / $344.18	Facility		$63.55	$139.90	$344.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.64 / $34.18 / $130.66	Professional		$28.64	$34.18	$130.66
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.30 / $112.20 / $735.66	Facility		$59.30	$112.20	$735.66
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $25.38 / $36.25 / $100.00	Professional		$25.38	$36.25	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.48 / $70.62 / $88.28	Professional		$66.48	$70.62	$88.28
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $51.55 / $58.00 / $92.80	Professional		$51.55	$58.00	$92.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.40 / $58.00 / $126.44	Professional		$46.40	$58.00	$126.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $418.87 / $532.57 / $532.57	Facility		$418.87	$532.57	$532.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.00 / $29.00 / $29.00	Professional		$29.00	$29.00	$29.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.44 / $62.76 / $116.00	Facility		$40.44	$62.76	$116.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $53.36 / $69.59 / $116.00	Professional		$53.36	$69.59	$116.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $203.58 / $203.58 / $203.58	Professional		$203.58	$203.58	$203.58
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $46.40 / $58.00 / $81.20	Professional		$46.40	$58.00	$81.20
United Facility/Professional Professional Modifier Low / Median / High Price $24.36 / $34.50 / $112.13	Professional		$24.36	$34.50	$112.13