Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.26 / $197.26 / $2,264.00	Facility		$174.26	$197.26	$2,264.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.13 / $129.57 / $669.91	Professional		$92.13	$129.57	$669.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.69 / $524.34 / $876.00	Facility		$34.69	$524.34	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.27 / $152.01 / $328.81	Professional		$103.27	$152.01	$328.81
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $58.90 / $100.00 / $903.22	Facility		$58.90	$100.00	$903.22
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $137.28 / $323.02	Professional		$100.00	$137.28	$323.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $156.62 / $1,586.83 / $3,723.45	Facility		$156.62	$1,586.83	$3,723.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.71 / $151.08 / $346.94	Professional		$90.71	$151.08	$346.94
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $138.87 / $152.76 / $187.47	Professional		$138.87	$152.76	$187.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.28 / $137.47 / $233.72	Professional		$102.28	$137.47	$233.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $343.59 / $734.94 / $734.94	Facility		$343.59	$734.94	$734.94
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,021.00 / $1,021.00 / $1,021.00	Professional		$1,021.00	$1,021.00	$1,021.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $68.95	Professional		$32.34	$32.34	$68.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $96.50 / $152.58 / $281.02	Facility		$96.50	$152.58	$281.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $95.34 / $177.95 / $325.22	Professional		$95.34	$177.95	$325.22
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $395.78 / $395.78 / $395.78	Professional		$395.78	$395.78	$395.78
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $112.30 / $126.33 / $154.41	Professional		$112.30	$126.33	$154.41
United Facility/Professional Facility Modifier Low / Median / High Price $123.66 / $123.66 / $123.66	Facility		$123.66	$123.66	$123.66
United Facility/Professional Professional Modifier Low / Median / High Price $84.38 / $133.03 / $303.35	Professional		$84.38	$133.03	$303.35