Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.28 / $162.15 / $1,092.46	Facility		$130.28	$162.15	$1,092.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.41 / $162.15 / $479.48	Professional		$99.41	$162.15	$479.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $174.20 / $348.33 / $851.20	Facility		$174.20	$348.33	$851.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.95 / $182.12 / $433.24	Professional		$67.95	$182.12	$433.24
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $122.84 / $479.12	Facility		$92.60	$122.84	$479.12
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $58.63 / $83.75 / $251.64	Professional		$58.63	$83.75	$251.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.34 / $293.77 / $568.77	Facility		$109.34	$293.77	$568.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.09 / $112.92 / $493.98	Professional		$70.09	$112.92	$493.98
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $102.97 / $169.90 / $229.37	Professional		$102.97	$169.90	$229.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $152.91 / $195.39 / $373.78	Professional		$152.91	$195.39	$373.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $295.63 / $807.03 / $807.03	Facility		$295.63	$807.03	$807.03
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $849.50 / $849.50 / $1,274.25	Professional		$849.50	$849.50	$1,274.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $203.89 / $203.89 / $203.89	Professional		$203.89	$203.89	$203.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.84 / $218.67 / $488.26	Facility		$128.84	$218.67	$488.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $88.15 / $194.27 / $349.06	Professional		$88.15	$194.27	$349.06
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $596.34 / $596.34 / $596.34	Professional		$596.34	$596.34	$596.34
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $105.03 / $135.91 / $175.05	Professional		$105.03	$135.91	$175.05
United Facility/Professional Professional Modifier Low / Median / High Price $54.19 / $71.36 / $340.99	Professional		$54.19	$71.36	$340.99