Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.07 / $239.07 / $1,411.04	Facility		$239.07	$239.07	$1,411.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.45 / $239.07 / $1,411.04	Professional		$183.45	$239.07	$1,411.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $181.55 / $705.89 / $1,552.39	Facility		$181.55	$705.89	$1,552.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $230.88 / $240.07 / $440.17	Professional		$230.88	$240.07	$440.17
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $578.98 / $1,033.89	Facility		$97.00	$578.98	$1,033.89
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $648.89 / $1,511.48	Professional		$100.00	$648.89	$1,511.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $228.74 / $306.16 / $306.16	Facility		$228.74	$306.16	$306.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.50 / $223.50 / $326.39	Professional		$223.50	$223.50	$326.39
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $159.58 / $191.50 / $537.96	Professional		$159.58	$191.50	$537.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $293.43 / $342.34 / $743.36	Professional		$293.43	$342.34	$743.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $960.80 / $2,322.98 / $2,322.98	Facility		$960.80	$2,322.98	$2,322.98
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,347.44 / $2,347.44 / $3,161.55	Professional		$2,347.44	$2,347.44	$3,161.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $969.95 / $969.95 / $969.95	Professional		$969.95	$969.95	$969.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.19 / $415.69 / $489.05	Facility		$128.19	$415.69	$489.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $223.50 / $306.16 / $442.60	Professional		$223.50	$306.16	$442.60
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $923.07 / $923.07 / $923.07	Professional		$923.07	$923.07	$923.07
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $159.58 / $271.29 / $391.24	Professional		$159.58	$271.29	$391.24
United Facility/Professional Professional Modifier Low / Median / High Price $186.92 / $233.24 / $489.05	Professional		$186.92	$233.24	$489.05