Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.30 / $83.30 / $625.13	Facility		$83.30	$83.30	$625.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.78 / $83.30 / $625.13	Professional		$77.78	$83.30	$625.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.20 / $220.76 / $495.68	Facility		$104.20	$220.76	$495.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.89 / $96.36 / $235.97	Professional		$38.89	$96.36	$235.97
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $70.29 / $120.16 / $274.16	Facility		$70.29	$120.16	$274.16
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $50.63 / $72.33 / $181.83	Professional		$50.63	$72.33	$181.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.40 / $168.09 / $325.43	Facility		$71.40	$168.09	$325.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.84 / $83.70 / $263.12	Professional		$51.84	$83.70	$263.12
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $75.15 / $97.22 / $131.25	Professional		$75.15	$97.22	$131.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.50 / $111.80 / $213.88	Professional		$87.50	$111.80	$213.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $169.16 / $461.80 / $461.80	Facility		$169.16	$461.80	$461.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $486.10 / $486.10 / $729.15	Professional		$486.10	$486.10	$729.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $82.64 / $119.12 / $279.36	Facility		$82.64	$119.12	$279.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.39 / $111.80 / $194.44	Professional		$64.39	$111.80	$194.44
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $341.24 / $341.24 / $341.24	Professional		$341.24	$341.24	$341.24
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $76.65 / $87.50 / $127.76	Professional		$76.65	$87.50	$127.76
United Facility/Professional Professional Modifier Low / Median / High Price $40.83 / $41.22 / $193.16	Professional		$40.83	$41.22	$193.16