Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.06 / $74.06 / $474.42	Facility		$74.06	$74.06	$474.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.23 / $74.06 / $459.19	Professional		$57.23	$74.06	$459.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.25 / $231.71 / $521.95	Facility		$56.25	$231.71	$521.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.16 / $74.53 / $114.69	Professional		$60.16	$74.53	$114.69
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $194.67 / $347.63	Facility		$96.60	$194.67	$347.63
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $88.87 / $218.17 / $508.18	Professional		$88.87	$218.17	$508.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.84 / $79.77 / $87.89	Facility		$76.84	$79.77	$87.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.23 / $58.23 / $85.05	Professional		$58.23	$58.23	$85.05
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $62.06 / $74.47 / $180.87	Professional		$62.06	$74.47	$180.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $98.66 / $115.10 / $254.87	Professional		$98.66	$115.10	$254.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $250.34 / $647.48 / $781.04	Facility		$250.34	$647.48	$781.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $918.41 / $940.46 / $985.88	Professional		$918.41	$940.46	$985.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $252.80 / $252.80 / $252.80	Professional		$252.80	$252.80	$252.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.72 / $131.83 / $166.82	Facility		$39.72	$131.83	$166.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.23 / $79.77 / $120.43	Professional		$58.23	$79.77	$120.43
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $310.35 / $310.35 / $310.35	Professional		$310.35	$310.35	$310.35
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $62.06 / $105.50 / $131.54	Professional		$62.06	$105.50	$131.54
United Facility/Professional Professional Modifier Low / Median / High Price $55.86 / $61.52 / $156.19	Professional		$55.86	$61.52	$156.19