Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.38 / $443.84 / $1,167.54	Facility		$144.38	$443.84	$1,167.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.74 / $144.38 / $313.87	Professional		$50.74	$144.38	$313.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.61 / $192.83 / $503.25	Facility		$59.61	$192.83	$503.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.61 / $99.97 / $242.51	Professional		$59.61	$99.97	$242.51
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.30 / $234.24 / $1,562.80	Facility		$59.30	$234.24	$1,562.80
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $74.81 / $106.89 / $248.90	Professional		$74.81	$106.89	$248.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.35 / $169.97 / $416.54	Facility		$84.35	$169.97	$416.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.47 / $126.00 / $166.88	Professional		$63.47	$126.00	$166.88
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $120.72 / $193.15	Professional		$99.00	$120.72	$193.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $96.58 / $120.72 / $263.17	Professional		$96.58	$120.72	$263.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $210.05 / $573.41 / $573.41	Facility		$210.05	$573.41	$573.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.36 / $60.36 / $60.36	Professional		$60.36	$60.36	$60.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $80.88 / $140.99 / $299.76	Facility		$80.88	$140.99	$299.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.47 / $120.72 / $165.93	Professional		$63.47	$120.72	$165.93
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $373.02 / $373.02 / $373.02	Professional		$373.02	$373.02	$373.02
United Facility/Professional Professional Modifier Low / Median / High Price $50.70 / $71.34 / $237.82	Professional		$50.70	$71.34	$237.82