Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.46 / $57.15 / $500.99	Facility		$30.46	$57.15	$500.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.97 / $57.14 / $198.35	Professional		$29.97	$57.14	$198.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $293.00 / $876.00	Facility		$28.18	$293.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.57 / $56.07 / $132.81	Professional		$29.57	$56.07	$132.81
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $116.64 / $611.53	Facility		$59.40	$116.64	$611.53
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $26.53 / $65.13 / $120.13	Professional		$26.53	$65.13	$120.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.93 / $50.93 / $50.93	Facility		$50.93	$50.93	$50.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.35 / $68.19 / $176.46	Professional		$33.35	$68.19	$176.46
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $35.46 / $47.87 / $224.48	Professional		$35.46	$47.87	$224.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.44 / $105.42 / $218.54	Professional		$31.44	$105.42	$218.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $230.91 / $230.91 / $230.91	Facility		$230.91	$230.91	$230.91
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $490.15 / $644.64 / $1,062.15	Professional		$490.15	$644.64	$1,062.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $111.84	Professional		$32.34	$32.34	$111.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.76 / $65.94 / $182.91	Facility		$31.76	$65.94	$182.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.60 / $79.88 / $229.36	Professional		$34.60	$79.88	$229.36
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $109.52 / $109.52 / $257.39	Professional		$109.52	$109.52	$257.39
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $32.24 / $90.59 / $184.92	Professional		$32.24	$90.59	$184.92
United Facility/Professional Facility Modifier Low / Median / High Price $85.05 / $85.05 / $157.35	Facility		$85.05	$85.05	$157.35
United Facility/Professional Professional Modifier Low / Median / High Price $52.32 / $78.68 / $245.32	Professional		$52.32	$78.68	$245.32