Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.55 / $207.03 / $1,535.15	Facility		$154.55	$207.03	$1,535.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.85 / $154.55 / $1,124.03	Professional		$139.85	$154.55	$1,124.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $179.23 / $356.02 / $875.80	Facility		$179.23	$356.02	$875.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.92 / $81.95 / $259.02	Professional		$69.92	$81.95	$259.02
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $126.39 / $492.96	Facility		$92.60	$126.39	$492.96
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $79.54 / $113.63 / $328.11	Professional		$79.54	$113.63	$328.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.73 / $302.26 / $585.19	Facility		$116.73	$302.26	$585.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.48 / $135.16 / $479.04	Professional		$94.48	$135.16	$479.04
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $135.60 / $174.81 / $235.99	Professional		$135.60	$174.81	$235.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $157.33 / $201.03 / $384.58	Professional		$157.33	$201.03	$384.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $304.17 / $830.35 / $830.35	Facility		$304.17	$830.35	$830.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $874.05 / $874.05 / $1,311.08	Professional		$874.05	$874.05	$1,311.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $209.77 / $209.77 / $209.77	Professional		$209.77	$209.77	$209.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $139.85 / $221.01 / $502.36	Facility		$139.85	$221.01	$502.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $102.70 / $192.29 / $393.20	Professional		$102.70	$192.29	$393.20
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $613.58 / $613.58 / $613.58	Professional		$613.58	$613.58	$613.58
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $138.31 / $157.33 / $230.52	Professional		$138.31	$157.33	$230.52
United Facility/Professional Professional Modifier Low / Median / High Price $73.42 / $79.54 / $449.79	Professional		$73.42	$79.54	$449.79