Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.98 / $111.98 / $717.25	Facility		$111.98	$111.98	$717.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.53 / $111.98 / $717.25	Professional		$86.53	$111.98	$717.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.04 / $350.31 / $789.10	Facility		$85.04	$350.31	$789.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.76 / $111.76 / $213.90	Professional		$111.76	$111.76	$213.90
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $294.32 / $525.58	Facility		$97.00	$294.32	$525.58
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $329.83 / $768.33	Professional		$100.00	$329.83	$768.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.51 / $116.51 / $227.17	Facility		$116.51	$116.51	$227.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.05 / $85.05 / $124.20	Professional		$85.05	$85.05	$124.20
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $132.88 / $159.46 / $273.45	Professional		$132.88	$159.46	$273.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $149.15 / $174.01 / $385.31	Professional		$149.15	$174.01	$385.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $466.90 / $1,180.80 / $1,180.80	Facility		$466.90	$1,180.80	$1,180.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,193.23 / $1,203.17 / $1,398.30	Professional		$1,193.23	$1,203.17	$1,398.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $382.20 / $382.20 / $382.20	Professional		$382.20	$382.20	$382.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.05 / $219.79 / $248.59	Facility		$60.05	$219.79	$248.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.05 / $116.50 / $217.77	Professional		$85.05	$116.50	$217.77
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $469.20 / $469.20 / $469.20	Professional		$469.20	$469.20	$469.20
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $132.88 / $198.87 / $199.32	Professional		$132.88	$198.87	$199.32
United Facility/Professional Facility Modifier Low / Median / High Price $15.36 / $84.46 / $92.18	Facility		$15.36	$84.46	$92.18
United Facility/Professional Professional Modifier Low / Median / High Price $84.46 / $93.02 / $240.54	Professional		$84.46	$93.02	$240.54