Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.47 / $104.94 / $255.90	Facility		$52.47	$104.94	$255.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.47 / $53.00 / $112.11	Professional		$52.47	$53.00	$112.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.67 / $83.81 / $188.54	Facility		$55.67	$83.81	$188.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.14 / $54.00 / $110.32	Professional		$46.14	$54.00	$110.32
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $50.60 / $54.50 / $99.50	Facility		$50.60	$54.50	$99.50
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $53.46 / $56.13 / $125.09	Professional		$53.46	$56.13	$125.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.50 / $49.50 / $52.47	Facility		$49.50	$49.50	$52.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.47 / $52.47 / $60.73	Professional		$52.47	$52.47	$60.73
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $50.28 / $50.92 / $67.88	Professional		$50.28	$50.92	$67.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.22 / $62.96 / $114.38	Professional		$47.22	$62.96	$114.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $254.60 / $262.35	Facility		$75.00	$254.60	$262.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,790.38 / $1,790.38 / $1,790.38	Professional		$1,790.38	$1,790.38	$1,790.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.28 / $103.07 / $103.07	Professional		$50.28	$103.07	$103.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.47 / $54.57 / $88.23	Facility		$52.47	$54.57	$88.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.47 / $52.47 / $62.85	Professional		$52.47	$52.47	$62.85
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $76.17 / $76.17 / $76.17	Professional		$76.17	$76.17	$76.17
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $41.98 / $52.47 / $78.70	Professional		$41.98	$52.47	$78.70
United Facility/Professional Professional Modifier Low / Median / High Price $52.47 / $53.52 / $103.01	Professional		$52.47	$53.52	$103.01