Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.25 / $162.63 / $2,264.00	Facility		$146.25	$162.63	$2,264.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.39 / $155.81 / $622.79	Professional		$119.39	$155.81	$622.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.16 / $570.00 / $876.00	Facility		$60.16	$570.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.22 / $182.97 / $383.02	Professional		$126.22	$182.97	$383.02
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $120.40 / $850.34	Facility		$59.40	$120.40	$850.34
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $138.00 / $339.05	Professional		$100.00	$138.00	$339.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $241.04 / $2,027.78 / $4,272.05	Facility		$241.04	$2,027.78	$4,272.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.45 / $188.42 / $435.28	Professional		$125.45	$188.42	$435.28
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $89.01 / $210.74 / $284.50	Professional		$89.01	$210.74	$284.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $159.97 / $210.22 / $358.26	Professional		$159.97	$210.22	$358.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $358.29 / $868.30 / $868.30	Facility		$358.29	$868.30	$868.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,102.83 / $1,102.83 / $1,366.88	Professional		$1,102.83	$1,102.83	$1,366.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $103.10	Professional		$32.34	$32.34	$103.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $141.60 / $204.19 / $397.70	Facility		$141.60	$204.19	$397.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $133.07 / $215.16 / $457.52	Professional		$133.07	$215.16	$457.52
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $543.13 / $543.13 / $543.13	Professional		$543.13	$543.13	$543.13
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $133.51 / $191.74 / $234.34	Professional		$133.51	$191.74	$234.34
United Facility/Professional Facility Modifier Low / Median / High Price $190.65 / $190.65 / $190.65	Facility		$190.65	$190.65	$190.65
United Facility/Professional Professional Modifier Low / Median / High Price $107.30 / $166.01 / $468.44	Professional		$107.30	$166.01	$468.44