Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $2,137.96	Facility		$295.12	$295.12	$2,137.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $295.12 / $1,862.09	Professional		$213.80	$295.12	$1,862.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $281.84 / $1,174.90	Facility		$223.87	$281.84	$1,174.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $549.54	Professional		$295.12	$295.12	$549.54
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $851.14 / $1,148.15	Facility		$100.00	$851.14	$1,148.15
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $912.01 / $1,584.89	Professional		$478.63	$912.01	$1,584.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $309.03 / $309.03	Facility		$229.09	$309.03	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $309.03	Professional		$223.87	$223.87	$309.03
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $165.96 / $602.56	Professional		$131.83	$165.96	$602.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $446.68 / $812.83	Professional		$302.00	$446.68	$812.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Facility		$2,511.89	$2,511.89	$2,511.89
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $4,073.80 / $4,073.80	Professional		$3,235.94	$4,073.80	$4,073.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Professional		$645.65	$645.65	$645.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $478.63 / $660.69	Facility		$165.96	$478.63	$660.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $501.19	Professional		$223.87	$223.87	$501.19
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Professional		$933.25	$933.25	$933.25
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $199.53 / $446.68	Professional		$131.83	$199.53	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $323.59 / $660.69	Facility		$40.74	$323.59	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $295.12 / $501.19	Professional		$223.87	$295.12	$501.19