Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.55 / $53.56 / $204.74	Facility		$46.55	$53.56	$204.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $53.23 / $193.00	Professional		$32.22	$53.23	$193.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.94 / $57.96 / $152.63	Facility		$47.94	$57.96	$152.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.94 / $66.15 / $487.30	Professional		$44.94	$66.15	$487.30
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $57.94 / $82.77 / $174.88	Professional		$57.94	$82.77	$174.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.50 / $69.05 / $151.41	Professional		$47.50	$69.05	$151.41
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $21.10 / $21.10 / $25.32	Professional		$21.10	$21.10	$25.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $48.97 / $88.99	Professional		$34.67	$48.97	$88.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $163.47 / $177.51 / $177.51	Facility		$163.47	$177.51	$177.51
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $330.34 / $330.34	Professional		$250.00	$330.34	$330.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $54.43	Professional		$32.34	$32.34	$54.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.34 / $48.54 / $84.53	Facility		$37.34	$48.54	$84.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.48 / $80.51 / $131.40	Professional		$45.48	$80.51	$131.40
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $141.55 / $141.55 / $141.55	Professional		$141.55	$141.55	$141.55
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $27.43 / $36.61 / $47.31	Professional		$27.43	$36.61	$47.31
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $55.44 / $162.49	Professional		$40.74	$55.44	$162.49