Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $252.80 / $252.80 / $1,619.24	Facility		$252.80	$252.80	$1,619.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.17 / $252.80 / $1,619.24	Professional		$212.17	$252.80	$1,619.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $191.97 / $790.86 / $1,781.45	Facility		$191.97	$790.86	$1,781.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.00 / $256.36 / $425.12	Professional		$223.00	$256.36	$425.12
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $664.42 / $1,186.46	Facility		$97.00	$664.42	$1,186.46
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $744.63 / $1,734.50	Professional		$100.00	$744.63	$1,734.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $262.49 / $295.70 / $299.99	Facility		$262.49	$295.70	$299.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.87 / $215.87 / $304.58	Professional		$215.87	$215.87	$304.58
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $299.99 / $359.99 / $617.33	Professional		$299.99	$359.99	$617.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $336.73 / $392.85 / $853.04	Professional		$336.73	$392.85	$853.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $927.95 / $2,665.75 / $2,665.75	Facility		$927.95	$2,665.75	$2,665.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,693.81 / $2,693.81 / $3,156.83	Professional		$2,693.81	$2,693.81	$3,156.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $988.67 / $988.67 / $988.67	Professional		$988.67	$988.67	$988.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $135.56 / $482.28 / $561.21	Facility		$135.56	$482.28	$561.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $215.87 / $295.70 / $505.90	Professional		$215.87	$295.70	$505.90
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,059.27 / $1,059.27 / $1,059.27	Professional		$1,059.27	$1,059.27	$1,059.27
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $299.99 / $448.97 / $449.99	Professional		$299.99	$448.97	$449.99
United Facility/Professional Facility Modifier Low / Median / High Price $34.69 / $190.66 / $208.12	Facility		$34.69	$190.66	$208.12
United Facility/Professional Professional Modifier Low / Median / High Price $190.66 / $209.99 / $533.17	Professional		$190.66	$209.99	$533.17