Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $1,862.09	Facility		$190.55	$190.55	$1,862.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $190.55 / $1,621.81	Professional		$151.36	$190.55	$1,621.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $186.21 / $831.76	Facility		$144.54	$186.21	$831.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $467.74	Professional		$199.53	$199.53	$467.74
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $758.58 / $1,000.00	Facility		$100.00	$758.58	$1,000.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $794.33 / $1,380.38	Professional		$407.38	$794.33	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $218.78 / $218.78	Facility		$199.53	$218.78	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $218.78	Professional		$162.18	$162.18	$218.78
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $162.18 / $524.81	Professional		$128.82	$162.18	$524.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $389.05 / $707.95	Professional		$257.04	$389.05	$707.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $3,090.30 / $3,090.30	Professional		$2,041.74	$3,090.30	$3,090.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Professional		$537.03	$537.03	$537.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $371.54 / $524.81	Facility		$138.04	$371.54	$524.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $407.38	Professional		$162.18	$162.18	$407.38
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Professional		$794.33	$794.33	$794.33
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $194.98 / $389.05	Professional		$128.82	$194.98	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $208.93 / $436.52	Facility		$26.30	$208.93	$436.52
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $190.55 / $426.58	Professional		$147.91	$190.55	$426.58