Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.17 / $66.17 / $423.83	Facility		$66.17	$66.17	$423.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.28 / $66.17 / $423.83	Professional		$49.28	$66.17	$423.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.30 / $207.00 / $466.27	Facility		$50.30	$207.00	$466.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.37 / $66.69 / $115.10	Professional		$60.37	$66.69	$115.10
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $173.91 / $310.56	Facility		$95.50	$173.91	$310.56
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $79.39 / $194.90 / $453.98	Professional		$79.39	$194.90	$453.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.70 / $68.84 / $78.52	Facility		$68.70	$68.84	$78.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.25 / $50.25 / $143.63	Professional		$50.25	$50.25	$143.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $78.52 / $94.22 / $161.58	Professional		$78.52	$94.22	$161.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $88.13 / $102.82 / $227.68	Professional		$88.13	$102.82	$227.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $251.23 / $584.39 / $697.73	Facility		$251.23	$584.39	$697.73
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $842.45 / $862.65 / $862.65	Professional		$842.45	$862.65	$862.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $253.99 / $253.99 / $253.99	Professional		$253.99	$253.99	$253.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.47 / $123.90 / $148.88	Facility		$35.47	$123.90	$148.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.25 / $50.25 / $128.13	Professional		$50.25	$50.25	$128.13
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $277.25 / $277.25 / $277.25	Professional		$277.25	$277.25	$277.25
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $78.52 / $117.51 / $117.78	Professional		$78.52	$117.51	$117.78
United Facility/Professional Professional Modifier Low / Median / High Price $51.74 / $61.81 / $146.90	Professional		$51.74	$61.81	$146.90