Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.33 / $323.33 / $1,962.56	Facility		$323.33	$323.33	$1,962.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.72 / $323.33 / $1,962.56	Professional		$198.72	$323.33	$1,962.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $263.70 / $392.51 / $697.90	Facility		$263.70	$392.51	$697.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.02 / $327.38 / $353.57	Professional		$269.02	$327.38	$353.57
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $832.17 / $1,486.02	Facility		$97.00	$832.17	$1,486.02
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $529.78 / $1,719.36	Professional		$100.00	$529.78	$1,719.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $382.03 / $382.03 / $555.15	Facility		$382.03	$382.03	$555.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $278.88 / $278.88 / $393.49	Professional		$278.88	$278.88	$393.49
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $148.58 / $425.90 / $511.08	Professional		$148.58	$425.90	$511.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $115.56 / $369.26 / $801.82	Professional		$115.56	$369.26	$801.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $677.29 / $1,660.98 / $1,660.98	Facility		$677.29	$1,660.98	$1,660.98
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,581.42 / $2,650.28 / $2,650.28	Professional		$2,581.42	$2,650.28	$2,650.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $724.57 / $724.57 / $724.57	Professional		$724.57	$724.57	$724.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $120.22 / $165.09 / $382.03	Facility		$120.22	$165.09	$382.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $259.87 / $278.88 / $382.03	Professional		$259.87	$278.88	$382.03
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,283.85 / $1,283.85 / $1,283.85	Professional		$1,283.85	$1,283.85	$1,283.85
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $132.07 / $425.90 / $553.66	Professional		$132.07	$425.90	$553.66
United Facility/Professional Professional Modifier Low / Median / High Price $222.29 / $257.63 / $624.91	Professional		$222.29	$257.63	$624.91