Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.69 / $48.69 / $255.67	Facility		$48.69	$48.69	$255.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.65 / $48.69 / $255.67	Professional		$38.65	$48.69	$255.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.97 / $134.40 / $281.31	Facility		$36.97	$134.40	$281.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.29 / $54.54 / $84.44	Professional		$44.29	$54.54	$84.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $91.07 / $104.90 / $187.33	Facility		$91.07	$104.90	$187.33
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $47.89 / $117.58 / $273.88	Professional		$47.89	$117.58	$273.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.44 / $50.66 / $50.66	Facility		$41.44	$50.66	$50.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.97 / $36.97 / $54.00	Professional		$36.97	$36.97	$54.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $43.57 / $97.48	Professional		$36.31	$43.57	$97.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.17 / $62.03 / $137.36	Professional		$53.17	$62.03	$137.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $152.54 / $423.35 / $423.35	Facility		$152.54	$423.35	$423.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $456.96 / $456.96 / $663.60	Professional		$456.96	$456.96	$663.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $187.08 / $187.08 / $187.08	Professional		$187.08	$187.08	$187.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.11 / $76.95 / $91.26	Facility		$26.11	$76.95	$91.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.97 / $50.66 / $84.35	Professional		$36.97	$50.66	$84.35
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $167.25 / $167.25 / $167.25	Professional		$167.25	$167.25	$167.25
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $61.73 / $70.90	Professional		$36.31	$61.73	$70.90
United Facility/Professional Professional Modifier Low / Median / High Price $38.07 / $44.21 / $90.35	Professional		$38.07	$44.21	$90.35