Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.66 / $105.00 / $257.42	Facility		$59.66	$105.00	$257.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.53 / $105.00 / $288.00	Professional		$52.53	$105.00	$288.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.02 / $60.36 / $68.36	Facility		$52.02	$60.36	$68.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.54 / $79.47 / $184.23	Professional		$52.54	$79.47	$184.23
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $88.30 / $115.00 / $139.00	Facility		$88.30	$115.00	$139.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $57.08 / $120.43 / $256.50	Professional		$57.08	$120.43	$256.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.68 / $73.68 / $73.68	Facility		$73.68	$73.68	$73.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.94 / $100.73 / $193.00	Professional		$67.94	$100.73	$193.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $37.76 / $47.20 / $70.34	Professional		$37.76	$47.20	$70.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $217.00 / $801.00	Professional		$105.00	$217.00	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $249.77 / $272.83 / $272.83	Facility		$249.77	$272.83	$272.83
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $414.94 / $542.94 / $554.37	Professional		$414.94	$542.94	$554.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $85.00 / $106.47	Professional		$60.00	$85.00	$106.47
Optum Facility/Professional Professional Modifier Low / Median / High Price $68.05 / $106.88 / $412.60	Professional		$68.05	$106.88	$412.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $62.28 / $90.48 / $142.05	Facility		$62.28	$90.48	$142.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.75 / $109.17 / $207.78	Professional		$70.75	$109.17	$207.78
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $82.50 / $165.00 / $165.00	Facility		$82.50	$165.00	$165.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $106.88 / $412.60	Professional		$72.44	$106.88	$412.60
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $50.34 / $69.20 / $99.33	Professional		$50.34	$69.20	$99.33
United Facility/Professional Professional Modifier Low / Median / High Price $69.31 / $93.26 / $214.00	Professional		$69.31	$93.26	$214.00