Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $337.57 / $385.54 / $2,264.00	Facility		$337.57	$385.54	$2,264.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.24 / $299.82 / $1,637.26	Professional		$224.24	$299.82	$1,637.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.02 / $570.00 / $1,233.96	Facility		$34.02	$570.00	$1,233.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $256.50 / $366.27 / $772.09	Professional		$256.50	$366.27	$772.09
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $410.12 / $1,955.20	Facility		$59.40	$410.12	$1,955.20
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $271.92 / $419.54 / $878.56	Professional		$271.92	$419.54	$878.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.31 / $4,112.77 / $9,136.87	Facility		$500.31	$4,112.77	$9,136.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $232.84 / $368.28 / $865.81	Professional		$232.84	$368.28	$865.81
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $147.94 / $325.27 / $439.11	Professional		$147.94	$325.27	$439.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $241.45 / $318.32 / $568.74	Professional		$241.45	$318.32	$568.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $560.05 / $4,042.45 / $4,042.45	Facility		$560.05	$4,042.45	$4,042.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,700.31 / $1,700.31 / $2,048.63	Professional		$1,700.31	$1,700.31	$2,048.63
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 $250.42 / $394.64 / $6,412.37	Facility		$250.42	$394.64	$6,412.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $229.72 / $361.43 / $865.81	Professional		$229.72	$361.43	$865.81
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $942.10 / $942.10 / $942.10	Professional		$942.10	$942.10	$942.10
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $221.92 / $295.98 / $361.76	Professional		$221.92	$295.98	$361.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,102.50 / $1,372.92 / $1,372.92	Facility		$1,102.50	$1,372.92	$1,372.92
United Facility/Professional Professional Modifier Low / Median / High Price $213.72 / $295.60 / $819.42	Professional		$213.72	$295.60	$819.42