Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.61 / $104.61 / $10,125.00	Facility		$47.61	$104.61	$10,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.55 / $1,963.08 / $10,909.37	Professional		$47.55	$1,963.08	$10,909.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.69 / $75.95 / $170.86	Facility		$45.69	$75.95	$170.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.28 / $47.55 / $108.20	Professional		$43.28	$47.55	$108.20
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.18 / $92.49 / $156.69	Facility		$64.18	$92.49	$156.69
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $48.44 / $49.89 / $112.33	Professional		$48.44	$49.89	$112.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.89 / $41.89 / $47.55	Facility		$41.89	$41.89	$47.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.55 / $47.55 / $56.54	Professional		$47.55	$47.55	$56.54
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $27.91 / $34.69 / $46.83	Professional		$27.91	$34.69	$46.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.80 / $57.06 / $103.66	Professional		$42.80	$57.06	$103.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $105.64 / $393.60 / $393.60	Facility		$105.64	$393.60	$393.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $160.44 / $160.44 / $163.32	Professional		$160.44	$160.44	$163.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.11 / $71.11 / $71.11	Professional		$71.11	$71.11	$71.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.55 / $48.02 / $81.88	Facility		$47.55	$48.02	$81.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.43 / $47.55 / $51.59	Professional		$30.43	$47.55	$51.59
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $178.70 / $178.70 / $178.70	Professional		$178.70	$178.70	$178.70
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $38.04 / $47.55 / $71.31	Professional		$38.04	$47.55	$71.31
United Facility/Professional Professional Modifier Low / Median / High Price $47.55 / $47.55 / $95.18	Professional		$47.55	$47.55	$95.18