Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $263.03 / $1,819.70	Facility		$69.18	$263.03	$1,819.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $83.18 / $338.84	Professional		$57.54	$83.18	$338.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $19.95 / $436.52	Facility		$18.20	$19.95	$436.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $79.43 / $190.55	Professional		$56.23	$79.43	$190.55
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $158.49 / $457.09	Facility		$66.07	$158.49	$457.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $102.33 / $194.98	Professional		$77.62	$102.33	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $398.11 / $1,258.93	Facility		$154.88	$398.11	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $87.10 / $186.21	Professional		$57.54	$87.10	$186.21
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $109.65 / $147.91	Professional		$38.02	$109.65	$147.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $102.33 / $194.98	Professional		$79.43	$102.33	$194.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Facility		$575.44	$575.44	$575.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $707.95 / $707.95	Professional		$575.44	$707.95	$707.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $33.11 / $81.28	Professional		$18.20	$33.11	$81.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $104.71 / $204.17	Facility		$63.10	$104.71	$204.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $93.33 / $213.80	Professional		$58.88	$93.33	$213.80
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Professional		$275.42	$275.42	$275.42
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $89.13 / $102.33	Professional		$57.54	$89.13	$102.33
United Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $275.42 / $446.68	Facility		$34.67	$275.42	$446.68
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $83.18 / $177.83	Professional		$43.65	$83.18	$177.83