Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.59 / $133.99 / $2,264.00	Facility		$118.59	$133.99	$2,264.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.59 / $118.59 / $608.53	Professional		$66.59	$118.59	$608.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.65 / $500.00 / $876.00	Facility		$25.65	$500.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.85 / $181.16 / $342.66	Professional		$113.85	$181.16	$342.66
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $308.48 / $1,388.65	Facility		$59.40	$308.48	$1,388.65
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $124.15 / $308.66	Professional		$100.00	$124.15	$308.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.57 / $1,204.39 / $2,653.88	Facility		$175.57	$1,204.39	$2,653.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.97 / $154.16 / $310.87	Professional		$89.97	$154.16	$310.87
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $86.52 / $134.30 / $181.31	Professional		$86.52	$134.30	$181.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.78 / $133.10 / $242.51	Professional		$100.78	$133.10	$242.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $326.41 / $1,229.45 / $1,229.45	Facility		$326.41	$1,229.45	$1,229.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $907.42 / $934.65 / $934.65	Professional		$907.42	$934.65	$934.65
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 $109.69 / $205.53 / $1,972.88	Facility		$109.69	$205.53	$1,972.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $89.97 / $151.99 / $308.89	Professional		$89.97	$151.99	$308.89
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $350.14 / $350.14 / $350.14	Professional		$350.14	$350.14	$350.14
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $108.62 / $149.35 / $210.98	Professional		$108.62	$149.35	$210.98
United Facility/Professional Facility Modifier Low / Median / High Price $396.05 / $668.97 / $668.97	Facility		$396.05	$668.97	$668.97
United Facility/Professional Professional Modifier Low / Median / High Price $90.81 / $124.21 / $310.06	Professional		$90.81	$124.21	$310.06