Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.40 / $387.93 / $1,827.00	Facility		$84.40	$387.93	$1,827.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.54 / $82.32 / $410.21	Professional		$63.54	$82.32	$410.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.81 / $351.34 / $876.00	Facility		$10.81	$351.34	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.34 / $91.88 / $202.27	Professional		$61.34	$91.88	$202.27
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $58.90 / $100.00 / $722.66	Facility		$58.90	$100.00	$722.66
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $94.50 / $117.96 / $219.66	Professional		$94.50	$117.96	$219.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.44 / $4,112.77 / $9,136.87	Facility		$128.44	$4,112.77	$9,136.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.53 / $97.92 / $235.40	Professional		$59.53	$97.92	$235.40
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $34.61 / $92.32 / $124.63	Professional		$34.61	$92.32	$124.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $68.80 / $90.82 / $165.61	Professional		$68.80	$90.82	$165.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $159.27 / $4,042.45 / $4,042.45	Facility		$159.27	$4,042.45	$4,042.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $445.73 / $445.73 / $592.50	Professional		$445.73	$445.73	$592.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.89 / $107.26 / $6,412.37	Facility		$60.89	$107.26	$6,412.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $59.53 / $96.53 / $235.40	Professional		$59.53	$96.53	$235.40
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $236.05 / $236.05 / $236.05	Professional		$236.05	$236.05	$236.05
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $51.91 / $74.65 / $102.64	Professional		$51.91	$74.65	$102.64
United Facility/Professional Facility Modifier Low / Median / High Price $275.63 / $1,372.92 / $2,303.06	Facility		$275.63	$1,372.92	$2,303.06
United Facility/Professional Professional Modifier Low / Median / High Price $57.46 / $81.61 / $214.64	Professional		$57.46	$81.61	$214.64