Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.52 / $154.68 / $360.47	Facility		$37.52	$154.68	$360.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.85 / $38.43 / $174.32	Professional		$27.85	$38.43	$174.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.31 / $83.96 / $312.00	Facility		$37.31	$83.96	$312.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $41.00 / $128.87	Professional		$18.20	$41.00	$128.87
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $56.30 / $95.60 / $402.66	Facility		$56.30	$95.60	$402.66
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $22.76 / $28.45 / $100.00	Professional		$22.76	$28.45	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.57 / $59.74 / $117.81	Facility		$25.57	$59.74	$117.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.01 / $34.64 / $171.97	Professional		$21.01	$34.64	$171.97
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $28.56 / $34.81 / $46.99	Professional		$28.56	$34.81	$46.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.33 / $40.03 / $78.89	Professional		$31.33	$40.03	$78.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $60.57 / $514.48 / $514.48	Facility		$60.57	$514.48	$514.48
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $261.08 / $386.73 / $397.33	Professional		$261.08	$386.73	$397.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.77 / $41.77 / $41.77	Professional		$41.77	$41.77	$41.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.59 / $51.08 / $103.56	Facility		$32.59	$51.08	$103.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.57 / $42.02 / $107.20	Professional		$23.57	$42.02	$107.20
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $122.18 / $122.18 / $122.18	Professional		$122.18	$122.18	$122.18
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $27.85 / $35.51 / $59.18	Professional		$27.85	$35.51	$59.18
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $27.31 / $93.49	Professional		$20.89	$27.31	$93.49