Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.97 / $372.66 / $1,024.48	Facility		$106.97	$372.66	$1,024.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.73 / $118.38 / $121.24	Professional		$77.73	$118.38	$121.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $185.42 / $323.87 / $714.58	Facility		$185.42	$323.87	$714.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.88 / $25.64 / $125.51	Professional		$19.88	$25.64	$125.51
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $188.27 / $1,279.39	Facility		$59.40	$188.27	$1,279.39
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $64.90 / $92.71 / $233.06	Professional		$64.90	$92.71	$233.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.95 / $239.19 / $477.46	Facility		$96.95	$239.19	$477.46
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $114.10 / $142.63 / $192.55	Professional		$114.10	$142.63	$192.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.37 / $164.02 / $313.79	Professional		$128.37	$164.02	$313.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $248.18 / $677.49 / $677.49	Facility		$248.18	$677.49	$677.49
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $713.15 / $713.15 / $1,069.73	Professional		$713.15	$713.15	$1,069.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $114.10 / $171.16 / $378.44	Facility		$114.10	$171.16	$378.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $142.63 / $156.88 / $213.95	Professional		$142.63	$156.88	$213.95
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $142.63 / $142.63 / $142.63	Professional		$142.63	$142.63	$142.63
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $114.10 / $128.37 / $193.97	Professional		$114.10	$128.37	$193.97
United Facility/Professional Professional Modifier Low / Median / High Price $59.90 / $60.48 / $316.27	Professional		$59.90	$60.48	$316.27