Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.48 / $364.76 / $1,980.44	Facility		$66.48	$364.76	$1,980.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.48 / $66.48 / $1,980.44	Professional		$66.48	$66.48	$1,980.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $268.42 / $614.00 / $1,518.44	Facility		$268.42	$614.00	$1,518.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.44 / $102.78 / $381.92	Professional		$78.44	$102.78	$381.92
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $222.68 / $868.56	Facility		$92.60	$222.68	$868.56
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $73.26 / $104.65 / $217.79	Professional		$73.26	$104.65	$217.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $198.20 / $532.53 / $1,031.03	Facility		$198.20	$532.53	$1,031.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.52 / $204.74 / $662.37	Professional		$87.52	$204.74	$662.37
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $75.15 / $308.00 / $415.80	Professional		$75.15	$308.00	$415.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $277.20 / $354.20 / $677.60	Professional		$277.20	$354.20	$677.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $535.91 / $1,463.00 / $1,463.00	Facility		$535.91	$1,463.00	$1,463.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,540.00 / $1,540.00 / $2,310.00	Professional		$1,540.00	$1,540.00	$2,310.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $369.60 / $369.60 / $369.60	Professional		$369.60	$369.60	$369.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $119.80 / $369.60 / $885.08	Facility		$119.80	$369.60	$885.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $140.84 / $338.80 / $632.16	Professional		$140.84	$338.80	$632.16
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,081.08 / $1,081.08 / $1,081.08	Professional		$1,081.08	$1,081.08	$1,081.08
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $76.65 / $127.76 / $308.00	Professional		$76.65	$127.76	$308.00
United Facility/Professional Professional Modifier Low / Median / High Price $67.72 / $129.36 / $591.66	Professional		$67.72	$129.36	$591.66