Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.74 / $202.74 / $999.99	Facility		$202.74	$202.74	$999.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.76 / $202.74 / $999.99	Professional		$158.76	$202.74	$999.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $153.94 / $531.32 / $1,100.18	Facility		$153.94	$531.32	$1,100.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $196.77 / $214.69 / $375.12	Professional		$196.77	$214.69	$375.12
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $410.32 / $732.71	Facility		$97.00	$410.32	$732.71
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $459.87 / $1,071.18	Professional		$100.00	$459.87	$1,071.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.11 / $271.68 / $271.68	Facility		$162.11	$271.68	$271.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.33 / $198.33 / $289.63	Professional		$198.33	$198.33	$289.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $108.27 / $129.91 / $381.25	Professional		$108.27	$129.91	$381.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $207.95 / $242.61 / $537.21	Professional		$207.95	$242.61	$537.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $677.64 / $1,747.51 / $1,747.51	Facility		$677.64	$1,747.51	$1,747.51
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,856.00 / $1,856.00 / $2,668.13	Professional		$1,856.00	$1,856.00	$2,668.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $743.33 / $743.33 / $743.33	Professional		$743.33	$743.33	$743.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $108.72 / $306.41 / $362.60	Facility		$108.72	$306.41	$362.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $198.33 / $271.68 / $346.59	Professional		$198.33	$271.68	$346.59
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $654.16 / $654.16 / $654.16	Professional		$654.16	$654.16	$654.16
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $108.27 / $184.06 / $277.27	Professional		$108.27	$184.06	$277.27
United Facility/Professional Professional Modifier Low / Median / High Price $156.12 / $171.37 / $346.59	Professional		$156.12	$171.37	$346.59