Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $138.04 / $288.40	Facility		$45.71	$138.04	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $30.90 / $218.78	Professional		$22.91	$30.90	$218.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $77.62 / $165.96	Facility		$16.60	$77.62	$165.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $41.69 / $81.28	Professional		$20.89	$41.69	$81.28
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $93.33 / $338.84	Facility		$52.48	$93.33	$338.84
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $27.54 / $81.28	Professional		$19.95	$27.54	$81.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $58.88 / $120.23	Facility		$23.44	$58.88	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $23.44 / $83.18	Professional		$18.62	$23.44	$83.18
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $33.11 / $44.67	Professional		$19.05	$33.11	$44.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $37.15 / $60.26	Professional		$30.20	$37.15	$60.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $229.09	Facility		$186.21	$186.21	$229.09
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $45.71 / $112.20	Facility		$28.84	$45.71	$112.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $33.88 / $77.62	Professional		$18.62	$33.88	$77.62
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Professional		$117.49	$117.49	$117.49
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $37.15 / $288.40	Professional		$26.92	$37.15	$288.40
United Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $33.11 / $75.86	Facility		$14.13	$33.11	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $21.38 / $74.13	Professional		$19.95	$21.38	$74.13