Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.64 / $166.56 / $391.27	Facility		$41.64	$166.56	$391.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.17 / $41.11 / $272.50	Professional		$31.17	$41.11	$272.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.42 / $102.22 / $312.00	Facility		$45.42	$102.22	$312.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.72 / $44.46 / $152.99	Professional		$19.72	$44.46	$152.99
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $57.10 / $98.10 / $436.21	Facility		$57.10	$98.10	$436.21
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $24.66 / $30.82 / $100.00	Professional		$24.66	$30.82	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.13 / $72.73 / $141.88	Facility		$31.13	$72.73	$141.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.83 / $39.18 / $194.04	Professional		$24.83	$39.18	$194.04
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $33.90 / $42.38 / $57.21	Professional		$33.90	$42.38	$57.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.14 / $48.74 / $96.04	Professional		$38.14	$48.74	$96.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $73.73 / $233.72 / $233.72	Facility		$73.73	$233.72	$233.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $317.85 / $386.73 / $397.33	Professional		$317.85	$386.73	$397.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.86 / $50.86 / $50.86	Professional		$50.86	$50.86	$50.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.40 / $58.36 / $119.07	Facility		$39.40	$58.36	$119.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.75 / $49.81 / $115.97	Professional		$25.75	$49.81	$115.97
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $148.75 / $148.75 / $148.75	Professional		$148.75	$148.75	$148.75
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $33.90 / $43.23 / $72.05	Professional		$33.90	$43.23	$72.05
United Facility/Professional Professional Modifier Low / Median / High Price $25.43 / $29.92 / $116.14	Professional		$25.43	$29.92	$116.14