Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.79 / $62.79 / $402.21	Facility		$62.79	$62.79	$402.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.44 / $62.79 / $322.00	Professional		$52.44	$62.79	$322.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.69 / $196.44 / $442.50	Facility		$47.69	$196.44	$442.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.36 / $61.22 / $107.44	Professional		$56.36	$61.22	$107.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $165.04 / $294.72	Facility		$95.50	$165.04	$294.72
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $75.34 / $184.96 / $430.83	Professional		$75.34	$184.96	$430.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.20 / $66.37 / $74.51	Facility		$65.20	$66.37	$74.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.45 / $48.45 / $70.75	Professional		$48.45	$48.45	$70.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $62.73 / $75.28 / $153.34	Professional		$62.73	$75.28	$153.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.64 / $97.58 / $216.07	Professional		$83.64	$97.58	$216.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $219.75 / $662.15 / $662.15	Facility		$219.75	$662.15	$662.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $694.67 / $711.32 / $784.13	Professional		$694.67	$711.32	$784.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $281.75 / $281.75 / $281.75	Professional		$281.75	$281.75	$281.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.67 / $122.07 / $139.40	Facility		$33.67	$122.07	$139.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.45 / $66.37 / $132.68	Professional		$48.45	$66.37	$132.68
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $263.11 / $263.11 / $263.11	Professional		$263.11	$263.11	$263.11
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $62.73 / $106.64 / $111.52	Professional		$62.73	$106.64	$111.52
United Facility/Professional Professional Modifier Low / Median / High Price $47.36 / $52.16 / $134.88	Professional		$47.36	$52.16	$134.88