Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.42 / $190.42 / $1,219.67	Facility		$190.42	$190.42	$1,219.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.08 / $190.42 / $1,219.67	Professional		$155.08	$190.42	$1,219.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.60 / $595.71 / $1,341.87	Facility		$144.60	$595.71	$1,341.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.66 / $191.22 / $294.86	Professional		$154.66	$191.22	$294.86
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $500.47 / $893.70	Facility		$97.00	$500.47	$893.70
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $560.89 / $1,306.48	Professional		$100.00	$560.89	$1,306.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $197.72 / $205.09 / $225.97	Facility		$197.72	$205.09	$225.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.72 / $149.72 / $218.64	Professional		$149.72	$149.72	$218.64
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $225.97 / $271.16 / $465.00	Professional		$225.97	$271.16	$465.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $253.64 / $295.91 / $655.23	Professional		$253.64	$295.91	$655.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,000.82 / $2,007.97 / $2,007.97	Facility		$1,000.82	$2,007.97	$2,007.97
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,824.46 / $3,916.26 / $3,916.26	Professional		$3,824.46	$3,916.26	$3,916.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $818.15 / $818.15 / $818.15	Professional		$818.15	$818.15	$818.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $102.11 / $365.34 / $428.88	Facility		$102.11	$365.34	$428.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $149.72 / $205.09 / $357.20	Professional		$149.72	$205.09	$357.20
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $797.88 / $797.88 / $797.88	Professional		$797.88	$797.88	$797.88
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $225.97 / $338.18 / $338.96	Professional		$225.97	$338.18	$338.96
United Facility/Professional Professional Modifier Low / Median / High Price $143.62 / $158.16 / $402.21	Professional		$143.62	$158.16	$402.21