Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $691.83	Facility		$72.44	$72.44	$691.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $72.44 / $616.60	Professional		$53.70	$72.44	$616.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $69.18 / $316.23	Facility		$54.95	$69.18	$316.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $177.83	Professional		$72.44	$72.44	$177.83
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $281.84 / $371.54	Facility		$97.72	$281.84	$371.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $302.00 / $512.86	Professional		$154.88	$302.00	$512.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $75.86 / $79.43	Facility		$74.13	$75.86	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $75.86	Professional		$54.95	$54.95	$75.86
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $91.20 / $194.98	Professional		$74.13	$91.20	$194.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $147.91 / $269.15	Professional		$97.72	$147.91	$269.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Professional		$891.25	$891.25	$891.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Professional		$177.83	$177.83	$177.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $131.83 / $194.98	Facility		$40.74	$131.83	$194.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $134.90	Professional		$54.95	$54.95	$134.90
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $109.65 / $147.91	Professional		$74.13	$109.65	$147.91
United Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $58.88 / $162.18	Facility		$10.00	$58.88	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $69.18 / $158.49	Professional		$54.95	$69.18	$158.49