Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.98 / $164.39 / $394.45	Facility		$41.98	$164.39	$394.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.35 / $40.99 / $190.45	Professional		$31.35	$40.99	$190.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $100.53 / $312.00	Facility		$44.67	$100.53	$312.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $30.96 / $106.28	Professional		$17.32	$30.96	$106.28
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $57.10 / $98.10 / $439.89	Facility		$57.10	$98.10	$439.89
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $24.86 / $31.07 / $100.00	Professional		$24.86	$31.07	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.61 / $71.52 / $139.51	Facility		$30.61	$71.52	$139.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.40 / $39.76 / $196.37	Professional		$24.40	$39.76	$196.37
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $33.34 / $41.68 / $56.27	Professional		$33.34	$41.68	$56.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.51 / $47.93 / $91.70	Professional		$37.51	$47.93	$91.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $72.52 / $197.98 / $197.98	Facility		$72.52	$197.98	$197.98
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $325.62 / $325.62 / $325.62	Professional		$325.62	$325.62	$325.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.02 / $50.02 / $50.02	Professional		$50.02	$50.02	$50.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.36 / $60.69 / $116.50	Facility		$39.36	$60.69	$116.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.95 / $49.02 / $116.94	Professional		$25.95	$49.02	$116.94
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $146.29 / $146.29 / $146.29	Professional		$146.29	$146.29	$146.29
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $33.34 / $42.51 / $70.86	Professional		$33.34	$42.51	$70.86
United Facility/Professional Professional Modifier Low / Median / High Price $17.51 / $21.11 / $129.05	Professional		$17.51	$21.11	$129.05