Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.95 / $55.41 / $322.26	Facility		$47.95	$55.41	$322.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.83 / $48.61 / $69.25	Professional		$36.83	$48.61	$69.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.45 / $73.09 / $192.49	Facility		$60.45	$73.09	$192.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.43 / $67.30 / $155.24	Professional		$49.43	$67.30	$155.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $41.96 / $56.92 / $91.62	Professional		$41.96	$56.92	$91.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.04 / $44.04 / $44.04	Professional		$44.04	$44.04	$44.04
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $55.86 / $61.45 / $75.41	Professional		$55.86	$61.45	$75.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.65 / $50.27 / $90.20	Professional		$38.65	$50.27	$90.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $84.12 / $246.06 / $246.06	Facility		$84.12	$246.06	$246.06
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $332.57 / $332.57 / $398.63	Professional		$332.57	$332.57	$398.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.26 / $55.14 / $73.70	Facility		$44.26	$55.14	$73.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.04 / $44.04 / $83.65	Professional		$44.04	$44.04	$83.65
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $179.87 / $179.87 / $179.87	Professional		$179.87	$179.87	$179.87
United Facility/Professional Professional Modifier Low / Median / High Price $44.24 / $60.91 / $157.61	Professional		$44.24	$60.91	$157.61