Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.79 / $72.79 / $466.26	Facility		$72.79	$72.79	$466.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.63 / $72.79 / $466.26	Professional		$60.63	$72.79	$466.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.28 / $227.74 / $513.00	Facility		$55.28	$227.74	$513.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.26 / $80.98 / $128.21	Professional		$67.26	$80.98	$128.21
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $191.33 / $341.66	Facility		$96.60	$191.33	$341.66
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $87.34 / $214.43 / $499.46	Professional		$87.34	$214.43	$499.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.59 / $89.19 / $89.19	Facility		$75.59	$89.19	$89.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.11 / $65.11 / $95.08	Professional		$65.11	$65.11	$95.08
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $58.80 / $70.56 / $177.77	Professional		$58.80	$70.56	$177.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $96.97 / $113.13 / $250.50	Professional		$96.97	$113.13	$250.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $237.55 / $645.28 / $767.65	Facility		$237.55	$645.28	$767.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $799.97 / $799.97 / $947.55	Professional		$799.97	$799.97	$947.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $485.29 / $485.29 / $485.29	Professional		$485.29	$485.29	$485.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.04 / $139.66 / $161.61	Facility		$39.04	$139.66	$161.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.11 / $89.19 / $131.51	Professional		$65.11	$89.19	$131.51
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $305.01 / $305.01 / $305.01	Professional		$305.01	$305.01	$305.01
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $58.80 / $99.96 / $129.29	Professional		$58.80	$99.96	$129.29
United Facility/Professional Professional Modifier Low / Median / High Price $56.92 / $68.17 / $153.76	Professional		$56.92	$68.17	$153.76