Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.11 / $324.31 / $526.23	Facility		$84.11	$324.31	$526.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.82 / $75.64 / $283.00	Professional		$52.82	$75.64	$283.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.58 / $92.65 / $376.00	Facility		$74.58	$92.65	$376.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.98 / $67.78 / $181.93	Professional		$10.98	$67.78	$181.93
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.61 / $102.90 / $424.40	Facility		$59.61	$102.90	$424.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $28.24 / $58.40 / $100.87	Professional		$28.24	$58.40	$100.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.97 / $90.00 / $130.00	Facility		$79.97	$90.00	$130.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.61 / $88.63 / $214.35	Professional		$32.61	$88.63	$214.35
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $28.54 / $37.69 / $114.53	Professional		$28.54	$37.69	$114.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.56 / $90.00 / $150.00	Professional		$70.56	$90.00	$150.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $158.44 / $351.19 / $392.92	Facility		$158.44	$351.19	$392.92
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $483.64 / $483.64 / $627.98	Professional		$483.64	$483.64	$627.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.69 / $108.39	Professional		$32.34	$32.69	$108.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $79.97 / $91.00 / $130.00	Facility		$79.97	$91.00	$130.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.46 / $93.06 / $199.89	Professional		$32.46	$93.06	$199.89
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $261.18 / $261.18 / $261.18	Professional		$261.18	$261.18	$261.18
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $37.69 / $72.45 / $97.31	Professional		$37.69	$72.45	$97.31
United Facility/Professional Facility Modifier Low / Median / High Price $110.00 / $110.00 / $110.00	Facility		$110.00	$110.00	$110.00
United Facility/Professional Professional Modifier Low / Median / High Price $56.78 / $75.04 / $192.73	Professional		$56.78	$75.04	$192.73