Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.13 / $120.13 / $577.13	Facility		$120.13	$120.13	$577.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.83 / $120.13 / $577.13	Professional		$92.83	$120.13	$577.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.22 / $306.63 / $634.91	Facility		$91.22	$306.63	$634.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.90 / $119.68 / $226.69	Professional		$118.90	$119.68	$226.69
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $236.81 / $422.87	Facility		$97.00	$236.81	$422.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $265.39 / $618.20	Professional		$100.00	$265.39	$618.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.56 / $142.94 / $142.94	Facility		$93.56	$142.94	$142.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.35 / $104.35 / $147.24	Professional		$104.35	$104.35	$147.24
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $68.52 / $82.22 / $220.02	Professional		$68.52	$82.22	$220.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.01 / $140.01 / $310.02	Professional		$120.01	$140.01	$310.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $409.50 / $1,059.51 / $1,059.51	Facility		$409.50	$1,059.51	$1,059.51
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,294.30 / $1,294.30 / $1,500.15	Professional		$1,294.30	$1,294.30	$1,500.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $410.04 / $410.04 / $410.04	Professional		$410.04	$410.04	$410.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.42 / $176.84 / $210.02	Facility		$64.42	$176.84	$210.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $104.35 / $142.94 / $232.01	Professional		$104.35	$142.94	$232.01
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $377.54 / $377.54 / $377.54	Professional		$377.54	$377.54	$377.54
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $68.52 / $116.48 / $160.02	Professional		$68.52	$116.48	$160.02
United Facility/Professional Professional Modifier Low / Median / High Price $90.60 / $99.79 / $200.02	Professional		$90.60	$99.79	$200.02