Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.94 / $171.43 / $171.43	Facility		$167.94	$171.43	$171.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.03 / $196.83 / $323.35	Professional		$166.03	$196.83	$323.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $408.22 / $408.22 / $462.29	Facility		$408.22	$408.22	$462.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $193.50 / $392.77 / $627.42	Professional		$193.50	$392.77	$627.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $151.80 / $226.00 / $537.16	Professional		$151.80	$226.00	$537.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.54 / $234.54 / $234.54	Facility		$234.54	$234.54	$234.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.31 / $183.31 / $183.31	Professional		$183.31	$183.31	$183.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $168.71 / $228.89 / $309.00	Professional		$168.71	$228.89	$309.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $191.29 / $261.51 / $411.00	Professional		$191.29	$261.51	$411.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $345.04 / $383.99 / $1,047.39	Facility		$345.04	$383.99	$1,047.39
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,287.73 / $1,287.73 / $1,686.08	Professional		$1,287.73	$1,287.73	$1,686.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $184.46 / $250.15 / $344.03	Facility		$184.46	$250.15	$344.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $183.31 / $183.31 / $522.58	Professional		$183.31	$183.31	$522.58
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $676.23 / $676.23 / $676.23	Professional		$676.23	$676.23	$676.23
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $184.87 / $253.07 / $254.20	Professional		$184.87	$253.07	$254.20
United Facility/Professional Professional Modifier Low / Median / High Price $160.38 / $219.78 / $499.76	Professional		$160.38	$219.78	$499.76