Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.51 / $106.80 / $129.40	Facility		$57.51	$106.80	$129.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.94 / $57.51 / $91.86	Professional		$53.94	$57.51	$91.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.06 / $61.92 / $81.34	Facility		$48.06	$61.92	$81.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.09 / $56.43 / $88.97	Professional		$24.09	$56.43	$88.97
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $53.77 / $61.84 / $87.80	Facility		$53.77	$61.84	$87.80
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $58.59 / $60.93 / $126.14	Professional		$58.59	$60.93	$126.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.25 / $54.25 / $57.51	Facility		$54.25	$54.25	$57.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.51 / $57.51 / $62.39	Professional		$57.51	$57.51	$62.39
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $50.95 / $56.05 / $68.78	Professional		$50.95	$56.05	$68.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.76 / $69.01 / $109.84	Professional		$51.76	$69.01	$109.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $100.00 / $224.97	Facility		$75.00	$100.00	$224.97
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $309.22 / $309.22 / $309.22	Professional		$309.22	$309.22	$309.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.95 / $104.44 / $104.44	Professional		$50.95	$104.44	$104.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.95 / $57.51 / $85.94	Facility		$2.95	$57.51	$85.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.19 / $57.51 / $64.04	Professional		$56.19	$57.51	$64.04
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $65.52 / $65.52 / $65.52	Professional		$65.52	$65.52	$65.52
United Facility/Professional Professional Modifier Low / Median / High Price $57.51 / $57.51 / $96.38	Professional		$57.51	$57.51	$96.38