Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.32 / $13.50 / $123.29	Facility		$12.32	$13.50	$123.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.50 / $19.00 / $123.29	Professional		$13.50	$19.00	$123.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.01 / $59.35 / $143.66	Facility		$22.01	$59.35	$143.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.97 / $27.14 / $42.09	Professional		$16.97	$27.14	$42.09
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $45.23 / $65.38 / $100.00	Facility		$45.23	$65.38	$100.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $23.09 / $80.16 / $137.29	Professional		$23.09	$80.16	$137.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.14 / $29.14 / $34.57	Facility		$29.14	$29.14	$34.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.27 / $21.27 / $52.50	Professional		$21.27	$21.27	$52.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $21.12 / $25.34 / $49.79	Professional		$21.12	$25.34	$49.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.16 / $31.68 / $68.80	Professional		$27.16	$31.68	$68.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $91.88 / $214.99 / $214.99	Facility		$91.88	$214.99	$214.99
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $225.39 / $225.39 / $339.45	Professional		$225.39	$225.39	$339.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $92.78 / $92.78 / $92.78	Professional		$92.78	$92.78	$92.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.45 / $38.56 / $45.26	Facility		$11.45	$38.56	$45.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.27 / $21.27 / $43.06	Professional		$21.27	$21.27	$43.06
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $80.65 / $80.65 / $80.65	Professional		$80.65	$80.65	$80.65
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $21.12 / $35.90 / $36.21	Professional		$21.12	$35.90	$36.21
United Facility/Professional Professional Modifier Low / Median / High Price $18.34 / $21.32 / $49.79	Professional		$18.34	$21.32	$49.79