Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $229.09 / $426.58	Facility		$95.50	$229.09	$426.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $83.18 / $371.54	Professional		$64.57	$83.18	$371.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $77.62 / $194.98	Facility		$61.66	$77.62	$194.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $114.82 / $213.80	Professional		$63.10	$114.82	$213.80
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $177.83 / $691.83	Facility		$61.66	$177.83	$691.83
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $107.15 / $186.21	Professional		$53.70	$107.15	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $89.13 / $128.82	Facility		$64.57	$89.13	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $102.33 / $194.98	Professional		$57.54	$102.33	$194.98
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $87.10 / $123.03	Professional		$79.43	$87.10	$123.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $77.62 / $199.53	Professional		$67.61	$77.62	$199.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $602.56 / $602.56	Professional		$575.44	$602.56	$602.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $114.82	Professional		$32.36	$33.11	$114.82
Optum Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $39.81	Professional		$30.90	$30.90	$39.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $91.20 / $144.54	Facility		$63.10	$91.20	$144.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $100.00 / $181.97	Professional		$60.26	$100.00	$181.97
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Professional		$239.88	$239.88	$239.88
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $151.36 / $223.87	Professional		$77.62	$151.36	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Facility		$70.79	$70.79	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $77.62 / $154.88	Professional		$50.12	$77.62	$154.88