Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $158.49 / $1,071.52	Facility		$131.83	$158.49	$1,071.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $158.49 / $870.96	Professional		$117.49	$158.49	$870.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $144.54 / $363.08	Facility		$114.82	$144.54	$363.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $154.88 / $436.52	Professional		$72.44	$154.88	$436.52
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $478.63 / $1,513.56	Facility		$69.18	$478.63	$1,513.56
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $131.83 / $316.23	Professional		$100.00	$131.83	$316.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $512.86 / $1,513.56	Facility		$407.38	$512.86	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $165.96 / $354.81	Professional		$102.33	$165.96	$354.81
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $208.93 / $245.47	Professional		$32.36	$208.93	$245.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $208.93 / $331.13	Professional		$154.88	$208.93	$331.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Facility		$977.24	$977.24	$977.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,288.25 / $1,288.25	Professional		$977.24	$1,288.25	$1,288.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Professional		$204.17	$204.17	$204.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $173.78 / $263.03	Facility		$109.65	$173.78	$263.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $165.96 / $363.08	Professional		$102.33	$165.96	$363.08
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Professional		$489.78	$489.78	$489.78
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $79.43 / $190.55	Professional		$41.69	$79.43	$190.55
United Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $660.69 / $1,023.29	Facility		$645.65	$660.69	$1,023.29
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $134.90 / $316.23	Professional		$97.72	$134.90	$316.23