Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.91 / $41.91 / $219.89	Facility		$41.91	$41.91	$219.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.52 / $41.91 / $219.89	Professional		$33.52	$41.91	$219.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $88.56 / $121.76 / $309.89	Facility		$88.56	$121.76	$309.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.11 / $93.04 / $118.75	Professional		$39.11	$93.04	$118.75
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $80.03 / $100.00 / $161.12	Facility		$80.03	$100.00	$161.12
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $41.19 / $101.13 / $235.56	Professional		$41.19	$101.13	$235.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.89 / $62.01 / $62.01	Facility		$39.89	$62.01	$62.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.71 / $52.71 / $63.87	Professional		$52.71	$52.71	$63.87
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $48.89 / $83.85	Professional		$40.74	$48.89	$83.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.74 / $53.36 / $118.16	Professional		$45.74	$53.36	$118.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $158.52 / $362.09 / $362.09	Facility		$158.52	$362.09	$362.09
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $394.02 / $394.02 / $571.73	Professional		$394.02	$394.02	$571.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $160.88 / $160.88 / $160.88	Professional		$160.88	$160.88	$160.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.47 / $69.06 / $78.48	Facility		$22.47	$69.06	$78.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.71 / $62.01 / $72.55	Professional		$52.71	$62.01	$72.55
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $143.84 / $143.84 / $143.84	Professional		$143.84	$143.84	$143.84
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $60.98 / $61.11	Professional		$40.74	$60.98	$61.11
United Facility/Professional Facility Modifier Low / Median / High Price $22.17 / $47.20 / $53.64	Facility		$22.17	$47.20	$53.64
United Facility/Professional Professional Modifier Low / Median / High Price $32.77 / $37.68 / $76.89	Professional		$32.77	$37.68	$76.89