Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $602.56 / $1,348.96	Facility		$147.91	$602.56	$1,348.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $134.90 / $954.99	Professional		$102.33	$134.90	$954.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $338.84 / $724.44	Facility		$81.28	$338.84	$724.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $181.97 / $371.54	Professional		$104.71	$181.97	$371.54
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $398.11 / $1,659.59	Facility		$69.18	$398.11	$1,659.59
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $134.90 / $389.05	Professional		$100.00	$134.90	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $251.19 / $524.81	Facility		$107.15	$251.19	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $114.82 / $407.38	Professional		$85.11	$114.82	$407.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $144.54 / $194.98	Professional		$114.82	$144.54	$194.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $158.49 / $275.42	Professional		$128.82	$158.49	$275.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Professional		$1,096.48	$1,096.48	$1,096.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $199.53 / $426.58	Facility		$123.03	$199.53	$426.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $154.88 / $354.81	Professional		$85.11	$154.88	$354.81
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Professional		$512.86	$512.86	$512.86
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $162.18 / $1,737.80	Professional		$114.82	$162.18	$1,737.80
United Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $144.54 / $144.54	Facility		$60.26	$144.54	$144.54
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $104.71 / $316.23	Professional		$87.10	$104.71	$316.23