Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $436.52	Facility		$54.95	$54.95	$436.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $54.95 / $380.19	Professional		$42.66	$54.95	$380.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $53.70 / $229.09	Facility		$41.69	$53.70	$229.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $125.89	Professional		$56.23	$56.23	$125.89
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $173.78 / $234.42	Facility		$97.72	$173.78	$234.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $190.55 / $323.59	Professional		$100.00	$190.55	$323.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Facility		$69.18	$69.18	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $69.18	Professional		$51.29	$51.29	$69.18
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $67.61 / $123.03	Professional		$53.70	$67.61	$123.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $91.20 / $165.96	Professional		$61.66	$91.20	$165.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Facility		$478.63	$478.63	$478.63
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $758.58 / $758.58	Professional		$512.86	$758.58	$758.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Professional		$102.33	$102.33	$102.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $93.33 / $125.89	Facility		$30.20	$93.33	$125.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $97.72	Professional		$51.29	$51.29	$97.72
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $81.28 / $91.20	Professional		$53.70	$81.28	$91.20
United Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $45.71 / $125.89	Facility		$7.59	$45.71	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $50.12 / $102.33	Professional		$42.66	$50.12	$102.33