Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.48 / $101.68 / $2,264.00	Facility		$89.48	$101.68	$2,264.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.88 / $84.46 / $420.31	Professional		$63.88	$84.46	$420.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.82 / $355.90 / $876.00	Facility		$12.82	$355.90	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.17 / $106.80 / $216.36	Professional		$79.17	$106.80	$216.36
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $154.58 / $919.56	Facility		$59.40	$154.58	$919.56
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $95.80 / $117.87 / $232.89	Professional		$95.80	$117.87	$232.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.44 / $1,204.39 / $2,653.88	Facility		$128.44	$1,204.39	$2,653.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.63 / $104.98 / $243.23	Professional		$76.63	$104.98	$243.23
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $51.91 / $94.19 / $127.16	Professional		$51.91	$94.19	$127.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.34 / $92.81 / $169.40	Professional		$70.34	$92.81	$169.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $159.27 / $1,229.45 / $1,229.45	Facility		$159.27	$1,229.45	$1,229.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $462.17 / $462.67 / $605.63	Professional		$462.17	$462.67	$605.63
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 $74.84 / $124.21 / $1,972.88	Facility		$74.84	$124.21	$1,972.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.75 / $101.29 / $243.23	Professional		$74.75	$101.29	$243.23
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $241.86 / $241.86 / $241.86	Professional		$241.86	$241.86	$241.86
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $76.16 / $96.80 / $126.59	Professional		$76.16	$96.80	$126.59
United Facility/Professional Facility Modifier Low / Median / High Price $315.00 / $396.05 / $668.97	Facility		$315.00	$396.05	$668.97
United Facility/Professional Professional Modifier Low / Median / High Price $62.58 / $84.68 / $213.67	Professional		$62.58	$84.68	$213.67