Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $354.81 / $1,096.48	Facility		$112.20	$354.81	$1,096.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $131.83 / $676.08	Professional		$97.72	$131.83	$676.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $295.12 / $630.96	Facility		$81.28	$295.12	$630.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $190.55 / $380.19	Professional		$104.71	$190.55	$380.19
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $354.81 / $1,659.59	Facility		$69.18	$354.81	$1,659.59
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $134.90 / $354.81	Professional		$100.00	$134.90	$354.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $218.78 / $524.81	Facility		$95.50	$218.78	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $114.82 / $389.05	Professional		$81.28	$114.82	$389.05
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $125.89 / $169.82	Professional		$107.15	$125.89	$169.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $138.04 / $239.88	Professional		$112.20	$138.04	$239.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $707.95	Facility		$602.56	$602.56	$707.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Professional		$1,202.26	$1,202.26	$1,202.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $199.53 / $467.74	Facility		$112.20	$199.53	$467.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $138.04 / $363.08	Professional		$81.28	$138.04	$363.08
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Professional		$436.52	$436.52	$436.52
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $141.25 / $1,621.81	Professional		$100.00	$141.25	$1,621.81
United Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $125.89 / $524.81	Facility		$52.48	$125.89	$524.81
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $104.71 / $295.12	Professional		$75.86	$104.71	$295.12