Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.11 / $126.11 / $807.75	Facility		$126.11	$126.11	$807.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.85 / $126.11 / $807.75	Professional		$106.85	$126.11	$807.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.77 / $394.52 / $888.68	Facility		$95.77	$394.52	$888.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.31 / $126.11 / $200.77	Professional		$105.31	$126.11	$200.77
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $331.45 / $591.88	Facility		$97.00	$331.45	$591.88
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $371.46 / $865.26	Professional		$100.00	$371.46	$865.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.52 / $139.66 / $149.65	Facility		$129.52	$139.66	$149.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.95 / $101.95 / $143.85	Professional		$101.95	$101.95	$143.85
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $104.65 / $125.58 / $307.95	Professional		$104.65	$125.58	$307.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $167.98 / $195.97 / $433.94	Professional		$167.98	$195.97	$433.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $438.24 / $1,329.81 / $1,329.81	Facility		$438.24	$1,329.81	$1,329.81
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,394.20 / $1,394.20 / $1,574.78	Professional		$1,394.20	$1,394.20	$1,574.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $519.90 / $519.90 / $519.90	Professional		$519.90	$519.90	$519.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.63 / $237.97 / $279.95	Facility		$67.63	$237.97	$279.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $101.95 / $139.66 / $205.05	Professional		$101.95	$139.66	$205.05
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $528.41 / $528.41 / $528.41	Professional		$528.41	$528.41	$528.41
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $104.65 / $177.91 / $223.97	Professional		$104.65	$177.91	$223.97
United Facility/Professional Professional Modifier Low / Median / High Price $95.11 / $104.75 / $252.80	Professional		$95.11	$104.75	$252.80