Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $602.56 / $1,819.70	Facility		$194.98	$602.56	$1,819.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $204.17 / $1,230.27	Professional		$169.82	$204.17	$1,230.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $56.23 / $1,000.00	Facility		$50.12	$56.23	$1,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $302.00 / $630.96	Professional		$213.80	$302.00	$630.96
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $512.86 / $1,698.24	Facility		$69.18	$512.86	$1,698.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $275.42 / $645.65	Professional		$186.21	$275.42	$645.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $1,230.27 / $3,890.45	Facility		$323.59	$1,230.27	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $257.04 / $588.84	Professional		$177.83	$257.04	$588.84
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $251.19 / $275.42	Professional		$93.33	$251.19	$275.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $245.47 / $467.74	Professional		$190.55	$245.47	$467.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Facility		$1,258.93	$1,258.93	$1,258.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,584.89 / $1,584.89	Professional		$1,479.11	$1,584.89	$1,584.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $141.25 / $181.97	Professional		$42.66	$141.25	$181.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $323.59 / $1,862.09	Facility		$204.17	$323.59	$1,862.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $257.04 / $588.84	Professional		$177.83	$257.04	$588.84
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Professional		$691.83	$691.83	$691.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $204.17 / $245.47	Professional		$141.25	$204.17	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $660.69 / $1,000.00	Facility		$630.96	$660.69	$1,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $213.80 / $575.44	Professional		$154.88	$213.80	$575.44