Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $331.13	Facility		$40.74	$40.74	$331.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $40.74 / $295.12	Professional		$33.11	$40.74	$295.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $112.20 / $281.84	Facility		$89.13	$112.20	$281.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $117.49 / $117.49	Professional		$54.95	$117.49	$117.49
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $131.83 / $177.83	Facility		$79.43	$131.83	$177.83
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $144.54 / $245.47	Professional		$85.11	$144.54	$245.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Facility		$61.66	$61.66	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $61.66	Professional		$52.48	$52.48	$61.66
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $51.29 / $93.33	Professional		$40.74	$51.29	$93.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $69.18 / $128.82	Professional		$46.77	$69.18	$128.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Facility		$363.08	$363.08	$363.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $575.44 / $575.44	Professional		$398.11	$575.44	$575.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Professional		$77.62	$77.62	$77.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $77.62 / $97.72	Facility		$22.39	$77.62	$97.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $74.13	Professional		$52.48	$52.48	$74.13
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Professional		$144.54	$144.54	$144.54
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $61.66 / $69.18	Professional		$40.74	$61.66	$69.18
United Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $45.71 / $95.50	Facility		$5.75	$45.71	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $41.69 / $77.62	Professional		$33.11	$41.69	$77.62