Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $233.61 / $795.91 / $1,789.45	Facility		$233.61	$795.91	$1,789.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.64 / $233.61 / $1,767.16	Professional		$178.64	$233.61	$1,767.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $255.98 / $550.02 / $1,354.91	Facility		$255.98	$550.02	$1,354.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.51 / $147.74 / $464.00	Professional		$138.51	$147.74	$464.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $362.78 / $2,465.21	Facility		$59.40	$362.78	$2,465.21
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $125.05 / $178.64 / $449.08	Professional		$125.05	$178.64	$449.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.81 / $460.89 / $920.00	Facility		$186.81	$460.89	$920.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.41 / $233.61 / $531.14	Professional		$146.41	$233.61	$531.14
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $219.86 / $274.83 / $371.02	Professional		$219.86	$274.83	$371.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $247.35 / $316.05 / $604.63	Professional		$247.35	$316.05	$604.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $478.20 / $1,305.44 / $1,305.44	Facility		$478.20	$1,305.44	$1,305.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,374.15 / $1,374.15 / $2,061.23	Professional		$1,374.15	$1,374.15	$2,061.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $219.86 / $329.80 / $729.21	Facility		$219.86	$329.80	$729.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $214.46 / $302.31 / $531.14	Professional		$214.46	$302.31	$531.14
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $964.65 / $964.65 / $964.65	Professional		$964.65	$964.65	$964.65
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $219.86 / $247.35 / $373.76	Professional		$219.86	$247.35	$373.76
United Facility/Professional Professional Modifier Low / Median / High Price $115.43 / $116.53 / $546.03	Professional		$115.43	$116.53	$546.03