Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.45 / $70.45 / $1,800.40	Facility		$70.45	$70.45	$1,800.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.45 / $70.45 / $1,800.40	Professional		$70.45	$70.45	$1,800.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $260.00 / $560.36 / $1,380.40	Facility		$260.00	$560.36	$1,380.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.16 / $115.36 / $403.20	Professional		$52.16	$115.36	$403.20
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $202.44 / $789.60	Facility		$92.60	$202.44	$789.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $50.63 / $72.33 / $205.66	Professional		$50.63	$72.33	$205.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $180.18 / $480.48 / $937.30	Facility		$180.18	$480.48	$937.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.02 / $240.88 / $758.17	Professional		$149.02	$240.88	$758.17
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $75.15 / $280.00 / $378.00	Professional		$75.15	$280.00	$378.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $252.00 / $322.00 / $610.40	Professional		$252.00	$322.00	$610.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $487.20 / $1,330.00 / $1,330.00	Facility		$487.20	$1,330.00	$1,330.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,400.00 / $1,400.00 / $2,100.00	Professional		$1,400.00	$1,400.00	$2,100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $336.00 / $336.00 / $336.00	Professional		$336.00	$336.00	$336.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.76 / $336.00 / $804.62	Facility		$100.76	$336.00	$804.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $185.55 / $308.00 / $560.00	Professional		$185.55	$308.00	$560.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $982.80 / $982.80 / $982.80	Professional		$982.80	$982.80	$982.80
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $76.65 / $127.76 / $280.00	Professional		$76.65	$127.76	$280.00
United Facility/Professional Professional Modifier Low / Median / High Price $117.60 / $126.00 / $767.34	Professional		$117.60	$126.00	$767.34