Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.59 / $235.08 / $582.91	Facility		$59.59	$235.08	$582.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.42 / $65.94 / $235.08	Professional		$27.42	$65.94	$235.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.06 / $88.18 / $312.00	Facility		$40.06	$88.18	$312.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $44.48 / $130.94	Professional		$18.05	$44.48	$130.94
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $58.90 / $100.00 / $716.23	Facility		$58.90	$100.00	$716.23
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $34.99 / $49.99 / $100.00	Professional		$34.99	$49.99	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.54 / $61.06 / $122.36	Facility		$25.54	$61.06	$122.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.35 / $44.60 / $93.62	Professional		$24.35	$44.60	$93.62
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $36.56 / $58.50	Professional		$19.48	$36.56	$58.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.25 / $36.56 / $79.70	Professional		$29.25	$36.56	$79.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $270.83 / $344.35 / $344.35	Facility		$270.83	$344.35	$344.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.28 / $18.28 / $18.28	Professional		$18.28	$18.28	$18.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.42 / $43.87 / $134.08	Facility		$27.42	$43.87	$134.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.35 / $43.41 / $81.56	Professional		$24.35	$43.41	$81.56
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $128.32 / $128.32 / $128.32	Professional		$128.32	$128.32	$128.32
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $31.31 / $39.14	Professional		$28.52	$31.31	$39.14
United Facility/Professional Professional Modifier Low / Median / High Price $15.36 / $33.13 / $90.71	Professional		$15.36	$33.13	$90.71