Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $1,318.26	Facility		$154.88	$154.88	$1,318.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $162.18 / $691.83	Professional		$123.03	$162.18	$691.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $151.36 / $645.65	Facility		$120.23	$151.36	$645.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $162.18 / $354.81	Professional		$158.49	$162.18	$354.81
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $537.03 / $707.95	Facility		$100.00	$537.03	$707.95
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $575.44 / $977.24	Professional		$295.12	$575.44	$977.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $190.55 / $190.55	Facility		$141.25	$190.55	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $190.55	Professional		$138.04	$138.04	$190.55
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $194.98 / $371.54	Professional		$154.88	$194.98	$371.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $281.84 / $501.19	Professional		$186.21	$281.84	$501.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Facility		$1,445.44	$1,445.44	$1,445.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,949.84 / $1,949.84	Professional		$1,479.11	$1,949.84	$1,949.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Professional		$275.42	$275.42	$275.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $269.15 / $389.05	Facility		$89.13	$269.15	$389.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $257.04	Professional		$138.04	$138.04	$257.04
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Professional		$575.44	$575.44	$575.44
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $234.42 / $281.84	Professional		$154.88	$234.42	$281.84
United Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $128.82 / $354.81	Facility		$21.38	$128.82	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $144.54 / $309.03	Professional		$120.23	$144.54	$309.03