Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.25 / $87.65 / $238.08	Facility		$28.25	$87.65	$238.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.88 / $31.27 / $234.89	Professional		$19.88	$31.27	$234.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.03 / $88.11 / $312.00	Facility		$40.03	$88.11	$312.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.61 / $21.72 / $61.36	Professional		$14.61	$21.72	$61.36
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $53.40 / $95.60 / $349.37	Facility		$53.40	$95.60	$349.37
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $23.71 / $82.48	Professional		$16.60	$23.71	$82.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.74 / $47.95 / $119.53	Facility		$23.74	$47.95	$119.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.75 / $42.13 / $55.75	Professional		$19.75	$42.13	$55.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $29.15 / $36.53 / $58.45	Professional		$29.15	$36.53	$58.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.22 / $36.53 / $82.78	Professional		$29.22	$36.53	$82.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $173.52 / $173.52	Facility		$80.00	$173.52	$173.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.26 / $18.26 / $18.26	Professional		$18.26	$18.26	$18.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.42 / $36.53 / $87.29	Facility		$23.42	$36.53	$87.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.21 / $28.13 / $45.58	Professional		$20.21	$28.13	$45.58
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $128.22 / $128.22 / $128.22	Professional		$128.22	$128.22	$128.22
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.22 / $32.65 / $40.81	Professional		$29.22	$32.65	$40.81
United Facility/Professional Professional Modifier Low / Median / High Price $15.34 / $16.11 / $55.89	Professional		$15.34	$16.11	$55.89