Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $411.45 / $804.24 / $4,596.77	Facility		$411.45	$804.24	$4,596.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $313.64 / $455.34 / $2,585.63	Professional		$313.64	$455.34	$2,585.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $312.00 / $776.78 / $1,982.45	Facility		$312.00	$776.78	$1,982.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $198.58 / $249.16 / $613.29	Professional		$198.58	$249.16	$613.29
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $290.73 / $1,133.98	Facility		$92.60	$290.73	$1,133.98
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $249.24 / $356.06 / $1,064.26	Professional		$249.24	$356.06	$1,064.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.36 / $695.27 / $1,399.95	Facility		$295.36	$695.27	$1,399.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.39 / $328.89 / $1,443.23	Professional		$223.39	$328.89	$1,443.23
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $357.44 / $411.06 / $542.86	Professional		$357.44	$411.06	$542.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $361.91 / $462.44 / $911.28	Professional		$361.91	$462.44	$911.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $699.69 / $1,910.07 / $1,910.07	Facility		$699.69	$1,910.07	$1,910.07
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,010.60 / $2,010.60 / $3,015.90	Professional		$2,010.60	$2,010.60	$3,015.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $402.12 / $402.12 / $402.12	Professional		$402.12	$402.12	$402.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $373.77 / $522.76 / $1,218.03	Facility		$373.77	$522.76	$1,218.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $267.11 / $473.04 / $1,102.26	Professional		$267.11	$473.04	$1,102.26
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,411.44 / $1,411.44 / $1,411.44	Professional		$1,411.44	$1,411.44	$1,411.44
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $321.70 / $400.33 / $607.65	Professional		$321.70	$400.33	$607.65
United Facility/Professional Professional Modifier Low / Median / High Price $168.89 / $230.41 / $968.26	Professional		$168.89	$230.41	$968.26