Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.82 / $31.01 / $209.86	Facility		$25.82	$31.01	$209.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.71 / $29.15 / $95.97	Professional		$24.71	$29.15	$95.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.98 / $293.00 / $876.00	Facility		$23.98	$293.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.40 / $29.95 / $59.82	Professional		$21.40	$29.95	$59.82
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $98.10 / $240.43	Facility		$55.00	$98.10	$240.43
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $20.34 / $29.06 / $68.37	Professional		$20.34	$29.06	$68.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.79 / $325.41 / $1,180.43	Facility		$35.79	$325.41	$1,180.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.37 / $139.56 / $205.65	Professional		$27.37	$139.56	$205.65
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $14.43 / $43.75 / $56.88	Professional		$14.43	$43.75	$56.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.08 / $39.38 / $71.00	Professional		$31.08	$39.38	$71.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $64.04 / $175.32 / $264.97	Facility		$64.04	$175.32	$264.97
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $194.73 / $194.73 / $272.77	Professional		$194.73	$194.73	$272.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $42.94	Professional		$32.34	$32.34	$42.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.51 / $40.52 / $58.53	Facility		$26.51	$40.52	$58.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.79 / $61.74 / $83.74	Professional		$39.79	$61.74	$83.74
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $102.82 / $102.82 / $102.82	Professional		$102.82	$102.82	$102.82
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $20.70 / $35.38 / $48.65	Professional		$20.70	$35.38	$48.65
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $29.36 / $70.28	Professional		$20.89	$29.36	$70.28