Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.74 / $73.31 / $201.37	Facility		$36.74	$73.31	$201.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.74 / $37.11 / $98.18	Professional		$36.74	$37.11	$98.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.97 / $58.68 / $132.02	Facility		$38.97	$58.68	$132.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.65 / $38.04 / $80.70	Professional		$36.65	$38.04	$80.70
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $35.82 / $40.03 / $84.28	Facility		$35.82	$40.03	$84.28
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $37.44 / $39.31 / $97.01	Professional		$37.44	$39.31	$97.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.65 / $34.65 / $36.74	Facility		$34.65	$34.65	$36.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.74 / $36.74 / $42.14	Professional		$36.74	$36.74	$42.14
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $36.64 / $36.65 / $49.47	Professional		$36.64	$36.65	$49.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.07 / $44.09 / $77.00	Professional		$33.07	$44.09	$77.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $183.20 / $183.70	Facility		$75.00	$183.20	$183.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $161.83 / $161.83 / $161.83	Professional		$161.83	$161.83	$161.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.13 / $75.13 / $75.13	Professional		$75.13	$75.13	$75.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.74 / $38.21 / $62.80	Facility		$36.74	$38.21	$62.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.74 / $36.74 / $45.93	Professional		$36.74	$36.74	$45.93
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $49.76 / $49.76 / $49.76	Professional		$49.76	$49.76	$49.76
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.39 / $36.74 / $55.11	Professional		$29.39	$36.74	$55.11
United Facility/Professional Professional Modifier Low / Median / High Price $36.74 / $36.74 / $63.95	Professional		$36.74	$36.74	$63.95