Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.87 / $749.14 / $2,724.00	Facility		$151.87	$749.14	$2,724.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.13 / $139.66 / $705.83	Professional		$102.13	$139.66	$705.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.14 / $565.35 / $876.00	Facility		$60.14	$565.35	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.06 / $221.63 / $414.48	Professional		$163.06	$221.63	$414.48
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $230.94 / $1,050.88	Facility		$59.40	$230.94	$1,050.88
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $152.74 / $218.20 / $487.61	Professional		$152.74	$218.20	$487.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.62 / $773.83 / $1,600.83	Facility		$84.62	$773.83	$1,600.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.36 / $195.73 / $374.26	Professional		$113.36	$195.73	$374.26
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $139.46 / $153.41 / $188.27	Professional		$139.46	$153.41	$188.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.37 / $144.79 / $262.18	Professional		$112.37	$144.79	$262.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $429.84 / $607.26 / $607.26	Facility		$429.84	$607.26	$607.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,114.50 / $1,130.08 / $1,130.08	Professional		$1,114.50	$1,130.08	$1,130.08
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 $114.63 / $199.71 / $773.83	Facility		$114.63	$199.71	$773.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $113.67 / $205.81 / $356.09	Professional		$113.67	$205.81	$356.09
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $406.14 / $406.14 / $406.14	Professional		$406.14	$406.14	$406.14
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $112.78 / $126.88 / $155.08	Professional		$112.78	$126.88	$155.08
United Facility/Professional Facility Modifier Low / Median / High Price $83.61 / $83.61 / $159.60	Facility		$83.61	$83.61	$159.60
United Facility/Professional Professional Modifier Low / Median / High Price $106.75 / $158.52 / $345.12	Professional		$106.75	$158.52	$345.12