Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $312.22 / $312.22 / $1,499.87	Facility		$312.22	$312.22	$1,499.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $264.33 / $312.22 / $1,499.87	Professional		$264.33	$312.22	$1,499.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $237.09 / $796.91 / $1,650.13	Facility		$237.09	$796.91	$1,650.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $278.24 / $316.12 / $530.45	Professional		$278.24	$316.12	$530.45
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $98.20 / $615.45 / $1,099.01	Facility		$98.20	$615.45	$1,099.01
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $689.74 / $1,606.63	Professional		$100.00	$689.74	$1,606.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.14 / $379.04 / $379.04	Facility		$243.14	$379.04	$379.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.70 / $276.70 / $661.13	Professional		$276.70	$276.70	$661.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $167.12 / $200.54 / $571.82	Professional		$167.12	$200.54	$571.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $311.89 / $363.89 / $790.16	Professional		$311.89	$363.89	$790.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,039.68 / $2,777.77 / $2,777.77	Facility		$1,039.68	$2,777.77	$2,777.77
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,176.29 / $3,176.29 / $4,555.43	Professional		$3,176.29	$3,176.29	$4,555.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,227.19 / $1,227.19 / $1,227.19	Professional		$1,227.19	$1,227.19	$1,227.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $167.43 / $459.59 / $545.83	Facility		$167.43	$459.59	$545.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $276.70 / $276.70 / $519.84	Professional		$276.70	$276.70	$519.84
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $981.18 / $981.18 / $981.18	Professional		$981.18	$981.18	$981.18
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $167.12 / $284.10 / $415.87	Professional		$167.12	$284.10	$415.87
United Facility/Professional Facility Modifier Low / Median / High Price $259.82 / $259.82 / $259.82	Facility		$259.82	$259.82	$259.82
United Facility/Professional Professional Modifier Low / Median / High Price $235.48 / $259.33 / $519.84	Professional		$235.48	$259.33	$519.84