Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $251.19 / $1,819.70	Facility		$85.11	$251.19	$1,819.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $85.11 / $371.54	Professional		$64.57	$85.11	$371.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $33.88 / $426.58	Facility		$30.90	$33.88	$426.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $120.23 / $263.03	Professional		$85.11	$120.23	$263.03
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $446.68 / $891.25	Facility		$69.18	$446.68	$891.25
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $123.03 / $239.88	Professional		$91.20	$123.03	$239.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $549.54 / $1,412.54	Facility		$125.89	$549.54	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $112.20 / $199.53	Professional		$69.18	$112.20	$199.53
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $104.71 / $141.25	Professional		$67.61	$104.71	$141.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $100.00 / $165.96	Professional		$77.62	$100.00	$165.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $676.08 / $676.08	Professional		$630.96	$676.08	$676.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $33.11 / $79.43	Professional		$27.54	$33.11	$79.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $123.03 / $229.09	Facility		$77.62	$123.03	$229.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $114.82 / $213.80	Professional		$69.18	$114.82	$213.80
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Professional		$269.15	$269.15	$269.15
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $117.49 / $229.09	Professional		$87.10	$117.49	$229.09
United Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $389.05 / $602.56	Facility		$380.19	$389.05	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $85.11 / $177.83	Professional		$66.07	$85.11	$177.83