Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.16 / $569.44 / $1,302.75	Facility		$133.16	$569.44	$1,302.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.77 / $147.37 / $1,141.71	Professional		$96.77	$147.37	$1,141.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $188.37 / $361.62 / $876.00	Facility		$188.37	$361.62	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.02 / $196.91 / $307.80	Professional		$71.02	$196.91	$307.80
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.90 / $242.55 / $1,612.24	Facility		$59.90	$242.55	$1,612.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $80.79 / $115.41 / $181.61	Professional		$80.79	$115.41	$181.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.71 / $288.52 / $594.36	Facility		$129.71	$288.52	$594.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.55 / $204.02 / $270.51	Professional		$91.55	$204.02	$270.51
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $177.56 / $284.10	Professional		$99.00	$177.56	$284.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $142.05 / $177.56 / $387.08	Professional		$142.05	$177.56	$387.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $284.10 / $843.41 / $843.41	Facility		$284.10	$843.41	$843.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $88.78 / $88.78 / $88.78	Professional		$88.78	$88.78	$88.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $88.78 / $177.56 / $424.07	Facility		$88.78	$177.56	$424.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $94.11 / $159.80 / $213.07	Professional		$94.11	$159.80	$213.07
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $623.23 / $623.23 / $623.23	Professional		$623.23	$623.23	$623.23
United Facility/Professional Professional Modifier Low / Median / High Price $74.58 / $74.58 / $253.91	Professional		$74.58	$74.58	$253.91