Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $215.03 / $732.61 / $2,016.90	Facility		$215.03	$732.61	$2,016.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.86 / $215.03 / $1,027.08	Professional		$150.86	$215.03	$1,027.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $193.34 / $384.04 / $929.65	Facility		$193.34	$384.04	$929.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.85 / $229.40 / $537.40	Professional		$101.85	$229.40	$537.40
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $331.54 / $2,252.98	Facility		$59.40	$331.54	$2,252.98
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $111.43 / $159.18 / $487.07	Professional		$111.43	$159.18	$487.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.50 / $323.58 / $656.48	Facility		$138.50	$323.58	$656.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.35 / $193.87 / $928.29	Professional		$117.35	$193.87	$928.29
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $159.80 / $188.57 / $254.57	Professional		$159.80	$188.57	$254.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.71 / $216.86 / $414.85	Professional		$169.71	$216.86	$414.85
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $328.11 / $895.71 / $895.71	Facility		$328.11	$895.71	$895.71
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,414.28 / $1,478.21 / $1,478.21	Professional		$1,414.28	$1,478.21	$1,478.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $226.29 / $226.29 / $226.29	Professional		$226.29	$226.29	$226.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $182.91 / $301.70 / $593.26	Facility		$182.91	$301.70	$593.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $132.41 / $234.70 / $601.27	Professional		$132.41	$234.70	$601.27
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $661.88 / $661.88 / $661.88	Professional		$661.88	$661.88	$661.88
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $150.86 / $192.34 / $320.57	Professional		$150.86	$192.34	$320.57
United Facility/Professional Facility Modifier Low / Median / High Price $226.28 / $840.00 / $840.00	Facility		$226.28	$840.00	$840.00
United Facility/Professional Professional Modifier Low / Median / High Price $113.14 / $154.49 / $506.44	Professional		$113.14	$154.49	$506.44