Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.38 / $606.10 / $1,675.02	Facility		$195.38	$606.10	$1,675.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.97 / $208.40 / $968.02	Professional		$141.97	$208.40	$968.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $242.63 / $521.00 / $1,284.27	Facility		$242.63	$521.00	$1,284.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.20 / $109.41 / $664.27	Professional		$104.20	$109.41	$664.27
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $118.53 / $169.33 / $423.41	Professional		$118.53	$169.33	$423.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.45 / $291.25 / $634.99	Facility		$174.45	$291.25	$634.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.80 / $306.45 / $503.50	Professional		$138.80	$306.45	$503.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $260.50 / $260.50 / $351.68	Professional		$260.50	$260.50	$351.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $234.45 / $286.55 / $475.00	Professional		$234.45	$286.55	$475.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $488.03 / $1,237.38 / $1,237.38	Facility		$488.03	$1,237.38	$1,237.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,302.50 / $1,302.50 / $1,953.75	Professional		$1,302.50	$1,302.50	$1,953.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $130.25 / $130.25 / $260.50	Professional		$130.25	$130.25	$260.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $189.72 / $260.50 / $458.88	Facility		$189.72	$260.50	$458.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $156.30 / $278.81 / $503.50	Professional		$156.30	$278.81	$503.50
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $914.35 / $914.35 / $914.35	Professional		$914.35	$914.35	$914.35
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $208.40 / $260.50 / $442.85	Professional		$208.40	$260.50	$442.85
United Facility/Professional Professional Modifier Low / Median / High Price $109.41 / $113.83 / $515.79	Professional		$109.41	$113.83	$515.79