Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $831.76 / $1,348.96	Facility		$251.19	$831.76	$1,348.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $141.25 / $186.21	Professional		$109.65	$141.25	$186.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $407.38 / $831.76	Facility		$213.80	$407.38	$831.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $120.23 / $331.13	Professional		$81.28	$120.23	$331.13
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $457.09 / $1,995.26	Facility		$61.66	$457.09	$1,995.26
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $158.49 / $398.11	Professional		$117.49	$158.49	$398.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $275.42 / $588.84	Facility		$109.65	$275.42	$588.84
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $181.97 / $223.87	Professional		$131.83	$181.97	$223.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $181.97 / $288.40	Professional		$147.91	$181.97	$288.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Facility		$776.25	$776.25	$776.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,230.27 / $1,230.27	Professional		$812.83	$1,230.27	$1,230.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $194.98 / $478.63	Facility		$134.90	$194.98	$478.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $181.97 / $234.42	Professional		$162.18	$181.97	$234.42
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $162.18 / $1,949.84	Professional		$131.83	$162.18	$1,949.84
United Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $162.18 / $162.18	Facility		$69.18	$162.18	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $85.11 / $316.23	Professional		$69.18	$85.11	$316.23