Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $207.50 / $207.50 / $1,329.04	Facility		$207.50	$207.50	$1,329.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.99 / $207.50 / $1,286.36	Professional		$170.99	$207.50	$1,286.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $157.57 / $649.13 / $1,462.21	Facility		$157.57	$649.13	$1,462.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $187.04 / $210.09 / $356.56	Professional		$187.04	$210.09	$356.56
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $545.36 / $973.86	Facility		$97.00	$545.36	$973.86
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $611.19 / $1,423.67	Professional		$100.00	$611.19	$1,423.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $215.30 / $215.87 / $246.23	Facility		$215.30	$215.87	$246.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.59 / $157.59 / $230.13	Professional		$157.59	$157.59	$230.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $238.26 / $285.91 / $506.70	Professional		$238.26	$285.91	$506.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $276.38 / $322.45 / $700.17	Professional		$276.38	$322.45	$700.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $778.30 / $1,848.60 / $2,188.04	Facility		$778.30	$1,848.60	$2,188.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,819.48 / $2,887.16 / $2,887.16	Professional		$2,819.48	$2,887.16	$2,887.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $944.31 / $944.31 / $944.31	Professional		$944.31	$944.31	$944.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $111.27 / $391.54 / $467.33	Facility		$111.27	$391.54	$467.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $157.59 / $215.87 / $337.38	Professional		$157.59	$215.87	$337.38
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $869.43 / $869.43 / $869.43	Professional		$869.43	$869.43	$869.43
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $238.26 / $368.51 / $368.51	Professional		$238.26	$368.51	$368.51
United Facility/Professional Professional Modifier Low / Median / High Price $156.50 / $172.36 / $415.95	Professional		$156.50	$172.36	$415.95