Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $392.63 / $785.26 / $2,022.04	Facility		$392.63	$785.26	$2,022.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $392.63 / $396.56 / $815.40	Professional		$392.63	$396.56	$815.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $416.54 / $627.15 / $1,405.85	Facility		$416.54	$627.15	$1,405.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $388.83 / $403.50 / $687.79	Professional		$388.83	$403.50	$687.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.70 / $100.00 / $444.59	Facility		$77.70	$100.00	$444.59
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $400.04 / $400.04 / $824.36	Professional		$400.04	$400.04	$824.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $370.40 / $370.40 / $392.63	Facility		$370.40	$370.40	$392.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $392.63 / $392.63 / $455.82	Professional		$392.63	$392.63	$455.82
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $373.77 / $411.14 / $504.59	Professional		$373.77	$411.14	$504.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $353.37 / $471.16 / $734.22	Professional		$353.37	$471.16	$734.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $497.18 / $1,868.85 / $1,963.15	Facility		$497.18	$1,868.85	$1,963.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,283.71 / $6,283.71 / $6,283.71	Professional		$6,283.71	$6,283.71	$6,283.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $766.22 / $766.22	Professional		$60.00	$766.22	$766.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $301.41 / $392.63 / $641.83	Facility		$301.41	$392.63	$641.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $392.63 / $392.63 / $467.21	Professional		$392.63	$392.63	$467.21
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $553.97 / $553.97 / $553.97	Professional		$553.97	$553.97	$553.97
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $314.10 / $392.63 / $588.94	Professional		$314.10	$392.63	$588.94
United Facility/Professional Facility Modifier Low / Median / High Price $392.63 / $392.63 / $392.63	Facility		$392.63	$392.63	$392.63
United Facility/Professional Professional Modifier Low / Median / High Price $392.63 / $392.63 / $653.79	Professional		$392.63	$392.63	$653.79