Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.11 / $41.11 / $263.33	Facility		$41.11	$41.11	$263.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $41.11 / $263.33	Professional		$33.88	$41.11	$263.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.22 / $128.62 / $289.72	Facility		$31.22	$128.62	$289.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.39 / $41.54 / $63.66	Professional		$33.39	$41.54	$63.66
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $108.06 / $192.97	Facility		$92.60	$108.06	$192.97
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $49.33 / $121.10 / $282.08	Professional		$49.33	$121.10	$282.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.77 / $48.78	Facility		$42.66	$42.77	$48.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.22 / $31.22 / $45.60	Professional		$31.22	$31.22	$45.60
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $37.59 / $45.11 / $100.40	Professional		$37.59	$45.11	$100.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $54.76 / $63.89 / $141.47	Professional		$54.76	$63.89	$141.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $167.08 / $433.53 / $433.53	Facility		$167.08	$433.53	$433.53
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $638.46 / $653.80 / $653.80	Professional		$638.46	$653.80	$653.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $187.10 / $187.10 / $187.10	Professional		$187.10	$187.10	$187.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.05 / $79.27 / $92.60	Facility		$22.05	$79.27	$92.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.22 / $42.77 / $68.28	Professional		$31.22	$42.77	$68.28
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $172.27 / $172.27 / $172.27	Professional		$172.27	$172.27	$172.27
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $37.59 / $63.90 / $73.02	Professional		$37.59	$63.90	$73.02
United Facility/Professional Facility Modifier Low / Median / High Price $5.64 / $31.01 / $33.85	Facility		$5.64	$31.01	$33.85
United Facility/Professional Professional Modifier Low / Median / High Price $31.57 / $34.15 / $86.62	Professional		$31.57	$34.15	$86.62