Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.53 / $32.97 / $287.63	Facility		$29.53	$32.97	$287.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.97 / $43.56 / $287.63	Professional		$32.97	$43.56	$287.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.87 / $99.71 / $316.51	Facility		$6.87	$99.71	$316.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.00 / $51.40 / $95.03	Professional		$49.00	$51.40	$95.03
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $94.28 / $118.04 / $210.79	Facility		$94.28	$118.04	$210.79
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $53.88 / $132.29 / $308.12	Professional		$53.88	$132.29	$308.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.20 / $79.20 / $79.20	Facility		$79.20	$79.20	$79.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.91 / $43.91 / $118.50	Professional		$43.91	$43.91	$118.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $79.77 / $99.71 / $119.65	Professional		$79.77	$99.71	$119.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $59.83 / $69.80 / $154.55	Professional		$59.83	$69.80	$154.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $171.66 / $476.75 / $476.75	Facility		$171.66	$476.75	$476.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $514.42 / $514.42 / $747.83	Professional		$514.42	$514.42	$747.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $210.53 / $210.53 / $210.53	Professional		$210.53	$210.53	$210.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.94 / $99.71 / $102.70	Facility		$30.94	$99.71	$102.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.91 / $43.91 / $99.71	Professional		$43.91	$43.91	$99.71
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $188.16 / $188.16 / $188.16	Professional		$188.16	$188.16	$188.16
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $79.77 / $79.77 / $79.77	Professional		$79.77	$79.77	$79.77
United Facility/Professional Professional Modifier Low / Median / High Price $42.20 / $45.64 / $96.46	Professional		$42.20	$45.64	$96.46