Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.58 / $455.37 / $1,127.82	Facility		$145.58	$455.37	$1,127.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.01 / $149.09 / $1,127.82	Professional		$114.01	$149.09	$1,127.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $179.84 / $357.22 / $876.00	Facility		$179.84	$357.22	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.16 / $164.35 / $402.45	Professional		$70.16	$164.35	$402.45
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $264.85 / $482.35	Facility		$97.00	$264.85	$482.35
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $79.81 / $114.01 / $286.61	Professional		$79.81	$114.01	$286.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.22 / $294.14 / $587.15	Facility		$119.22	$294.14	$587.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.92 / $145.86 / $532.91	Professional		$92.92	$145.86	$532.91
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $140.32 / $175.40 / $236.79	Professional		$140.32	$175.40	$236.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $157.86 / $201.71 / $385.88	Professional		$157.86	$201.71	$385.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $305.20 / $833.15 / $833.15	Facility		$305.20	$833.15	$833.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $877.00 / $877.00 / $1,315.50	Professional		$877.00	$877.00	$1,315.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $140.32 / $210.48 / $503.13	Facility		$140.32	$210.48	$503.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $94.29 / $199.02 / $474.59	Professional		$94.29	$199.02	$474.59
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $615.65 / $615.65 / $615.65	Professional		$615.65	$615.65	$615.65
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $140.32 / $157.86 / $238.54	Professional		$140.32	$157.86	$238.54
United Facility/Professional Professional Modifier Low / Median / High Price $73.67 / $73.67 / $388.93	Professional		$73.67	$73.67	$388.93