Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $236.62 / $473.56 / $1,218.58	Facility		$236.62	$473.56	$1,218.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $236.62 / $238.98 / $538.10	Professional		$236.62	$238.98	$538.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $251.03 / $377.95 / $847.24	Facility		$251.03	$377.95	$847.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $236.62 / $245.54 / $520.10	Professional		$236.62	$245.54	$520.10
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.70 / $100.00 / $332.81	Facility		$77.70	$100.00	$332.81
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $241.08 / $241.08 / $579.58	Professional		$241.08	$241.08	$579.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.22 / $223.22 / $236.62	Facility		$223.22	$223.22	$236.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.62 / $236.62 / $271.88	Professional		$236.62	$236.62	$271.88
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $233.12 / $256.43 / $314.70	Professional		$233.12	$256.43	$314.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $212.96 / $283.94 / $473.24	Professional		$212.96	$283.94	$473.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $310.08 / $1,159.44 / $1,183.09	Facility		$310.08	$1,159.44	$1,183.09
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,029.23 / $1,029.23 / $1,029.23	Professional		$1,029.23	$1,029.23	$1,029.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $477.89 / $477.89 / $477.89	Professional		$477.89	$477.89	$477.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $236.62 / $246.08 / $403.19	Facility		$236.62	$246.08	$403.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $236.62 / $236.62 / $291.39	Professional		$236.62	$236.62	$291.39
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $365.57 / $365.57 / $365.57	Professional		$365.57	$365.57	$365.57
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $189.29 / $236.62 / $354.92	Professional		$189.29	$236.62	$354.92
United Facility/Professional Facility Modifier Low / Median / High Price $604.39 / $636.96 / $636.96	Facility		$604.39	$636.96	$636.96
United Facility/Professional Professional Modifier Low / Median / High Price $236.62 / $236.62 / $449.91	Professional		$236.62	$236.62	$449.91