Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.50 / $417.84 / $2,499.25	Facility		$192.50	$417.84	$2,499.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.14 / $192.50 / $1,343.36	Professional		$167.14	$192.50	$1,343.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $203.00 / $425.49 / $1,029.98	Facility		$203.00	$425.49	$1,029.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.17 / $167.29 / $409.65	Professional		$103.17	$167.29	$409.65
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $151.05 / $589.15	Facility		$92.60	$151.05	$589.15
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $129.49 / $184.98 / $324.27	Professional		$129.49	$184.98	$324.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.44 / $361.23 / $727.34	Facility		$153.44	$361.23	$727.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.06 / $170.76 / $749.35	Professional		$116.06	$170.76	$749.35
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $208.92 / $229.81 / $282.04	Professional		$208.92	$229.81	$282.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $188.03 / $240.26 / $459.62	Professional		$188.03	$240.26	$459.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $363.52 / $992.37 / $992.37	Facility		$363.52	$992.37	$992.37
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,044.59 / $1,044.59 / $1,566.90	Professional		$1,044.59	$1,044.59	$1,566.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $250.70 / $250.70 / $250.70	Professional		$250.70	$250.70	$250.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $192.50 / $271.60 / $632.83	Facility		$192.50	$271.60	$632.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $138.88 / $245.88 / $572.95	Professional		$138.88	$245.88	$572.95
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $733.30 / $733.30 / $733.30	Professional		$733.30	$733.30	$733.30
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $167.14 / $213.10 / $355.16	Professional		$167.14	$213.10	$355.16
United Facility/Professional Facility Modifier Low / Median / High Price $87.75 / $208.92 / $208.92	Facility		$87.75	$208.92	$208.92
United Facility/Professional Professional Modifier Low / Median / High Price $87.75 / $119.71 / $558.95	Professional		$87.75	$119.71	$558.95