Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $241.83 / $800.46 / $1,897.08	Facility		$241.83	$800.46	$1,897.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.38 / $241.83 / $1,873.44	Professional		$189.38	$241.83	$1,873.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $260.00 / $581.26 / $1,436.40	Facility		$260.00	$581.26	$1,436.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.54 / $273.01 / $668.53	Professional		$116.54	$273.01	$668.53
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $439.95 / $801.24	Facility		$97.00	$439.95	$801.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $132.57 / $189.38 / $476.08	Professional		$132.57	$189.38	$476.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $198.05 / $488.60 / $975.31	Facility		$198.05	$488.60	$975.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.16 / $242.48 / $884.16	Professional		$154.16	$242.48	$884.16
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $233.08 / $291.36 / $393.34	Professional		$233.08	$291.36	$393.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $262.22 / $335.06 / $635.16	Professional		$262.22	$335.06	$635.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $506.97 / $1,383.96 / $1,383.96	Facility		$506.97	$1,383.96	$1,383.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,456.80 / $1,456.80 / $2,185.19	Professional		$1,456.80	$1,456.80	$2,185.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $203.95 / $203.95 / $203.95	Professional		$203.95	$203.95	$203.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $233.09 / $349.63 / $835.73	Facility		$233.09	$349.63	$835.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $156.44 / $335.06 / $787.40	Professional		$156.44	$335.06	$787.40
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,022.67 / $1,022.67 / $1,022.67	Professional		$1,022.67	$1,022.67	$1,022.67
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $233.09 / $262.22 / $396.24	Professional		$233.09	$262.22	$396.24
United Facility/Professional Professional Modifier Low / Median / High Price $122.37 / $127.32 / $559.70	Professional		$122.37	$127.32	$559.70