Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $183.68 / $183.68 / $882.35	Facility		$183.68	$183.68	$882.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.90 / $183.68 / $882.35	Professional		$133.90	$183.68	$882.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $139.52 / $468.82 / $970.76	Facility		$139.52	$468.82	$970.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.66 / $186.03 / $288.95	Professional		$155.66	$186.03	$288.95
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $362.07 / $646.54	Facility		$97.00	$362.07	$646.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $405.77 / $945.17	Professional		$100.00	$405.77	$945.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.04 / $197.02 / $197.02	Facility		$143.04	$197.02	$197.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.82 / $143.82 / $202.93	Professional		$143.82	$143.82	$202.93
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $113.17 / $135.80 / $336.40	Professional		$113.17	$135.80	$336.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $183.49 / $214.07 / $474.02	Professional		$183.49	$214.07	$474.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $630.72 / $1,631.04 / $1,631.04	Facility		$630.72	$1,631.04	$1,631.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,030.64 / $2,030.64 / $3,058.20	Professional		$2,030.64	$2,030.64	$3,058.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $626.93 / $626.93 / $626.93	Professional		$626.93	$626.93	$626.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $98.50 / $270.38 / $321.11	Facility		$98.50	$270.38	$321.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $143.82 / $197.02 / $334.74	Professional		$143.82	$197.02	$334.74
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $577.21 / $577.21 / $577.21	Professional		$577.21	$577.21	$577.21
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $113.17 / $192.39 / $244.66	Professional		$113.17	$192.39	$244.66
United Facility/Professional Facility Modifier Low / Median / High Price $136.63 / $136.63 / $136.63	Facility		$136.63	$136.63	$136.63
United Facility/Professional Professional Modifier Low / Median / High Price $141.07 / $152.57 / $308.54	Professional		$141.07	$152.57	$308.54