Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.62 / $28.62 / $183.32	Facility		$28.62	$28.62	$183.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.82 / $28.62 / $183.32	Professional		$20.82	$28.62	$183.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.74 / $89.54 / $201.70	Facility		$21.74	$89.54	$201.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.25 / $28.86 / $44.32	Professional		$23.25	$28.86	$44.32
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.73 / $93.69 / $134.34	Facility		$66.73	$93.69	$134.34
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $34.34 / $100.00 / $196.39	Professional		$34.34	$100.00	$196.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.72 / $29.78 / $33.97	Facility		$29.72	$29.78	$33.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.74 / $21.74 / $31.74	Professional		$21.74	$21.74	$31.74
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $23.76 / $28.51 / $69.89	Professional		$23.76	$28.51	$69.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.11 / $44.48 / $98.49	Professional		$38.11	$44.48	$98.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $113.23 / $253.42 / $301.82	Facility		$113.23	$253.42	$301.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $432.68 / $443.07 / $443.07	Professional		$432.68	$443.07	$443.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $130.25 / $130.25 / $130.25	Professional		$130.25	$130.25	$130.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.35 / $55.20 / $64.45	Facility		$15.35	$55.20	$64.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.74 / $29.77 / $54.05	Professional		$21.74	$29.77	$54.05
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $119.92 / $119.92 / $119.92	Professional		$119.92	$119.92	$119.92
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $23.76 / $40.39 / $50.83	Professional		$23.76	$40.39	$50.83
United Facility/Professional Professional Modifier Low / Median / High Price $22.38 / $25.57 / $58.69	Professional		$22.38	$25.57	$58.69