Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.56 / $29.56 / $142.03	Facility		$29.56	$29.56	$142.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.62 / $29.56 / $43.34	Professional		$25.62	$29.56	$43.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.46 / $75.45 / $156.24	Facility		$22.46	$75.45	$156.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.35 / $29.46 / $51.06	Professional		$25.35	$29.46	$51.06
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $50.59 / $71.25 / $104.06	Facility		$50.59	$71.25	$104.06
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $26.60 / $88.82 / $152.13	Professional		$26.60	$88.82	$152.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.00 / $31.92 / $31.92	Facility		$23.00	$31.92	$31.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.30 / $23.30 / $34.02	Professional		$23.30	$23.30	$34.02
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $18.48 / $22.18 / $54.14	Professional		$18.48	$22.18	$54.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.53 / $34.45 / $76.29	Professional		$29.53	$34.45	$76.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $95.95 / $258.76 / $258.76	Facility		$95.95	$258.76	$258.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $324.87 / $324.87 / $436.65	Professional		$324.87	$324.87	$436.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $197.08 / $197.08 / $197.08	Professional		$197.08	$197.08	$197.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $43.52 / $51.68	Facility		$15.85	$43.52	$51.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.30 / $31.92 / $46.85	Professional		$23.30	$31.92	$46.85
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $92.91 / $92.91 / $92.91	Professional		$92.91	$92.91	$92.91
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $18.48 / $31.42 / $39.38	Professional		$18.48	$31.42	$39.38
United Facility/Professional Professional Modifier Low / Median / High Price $22.30 / $24.56 / $49.22	Professional		$22.30	$24.56	$49.22