Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.61 / $195.61 / $1,252.91	Facility		$195.61	$195.61	$1,252.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.63 / $195.61 / $1,252.91	Professional		$146.63	$195.61	$1,252.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $148.60 / $611.95 / $1,378.44	Facility		$148.60	$611.95	$1,378.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.88 / $197.18 / $302.89	Professional		$158.88	$197.18	$302.89
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $514.11 / $918.06	Facility		$97.00	$514.11	$918.06
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $576.17 / $1,342.10	Professional		$100.00	$576.17	$1,342.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $203.11 / $203.51 / $232.12	Facility		$203.11	$203.51	$232.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.56 / $148.56 / $216.96	Professional		$148.56	$148.56	$216.96
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $117.05 / $140.46 / $477.68	Professional		$117.05	$140.46	$477.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $260.55 / $303.98 / $660.06	Professional		$260.55	$303.98	$660.06
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $633.04 / $1,717.84 / $2,062.69	Facility		$633.04	$1,717.84	$2,062.69
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,162.57 / $2,162.57 / $2,527.19	Professional		$2,162.57	$2,162.57	$2,527.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $890.21 / $890.21 / $890.21	Professional		$890.21	$890.21	$890.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.90 / $377.20 / $434.25	Facility		$104.90	$377.20	$434.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $148.56 / $203.51 / $347.17	Professional		$148.56	$203.51	$347.17
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $819.62 / $819.62 / $819.62	Professional		$819.62	$819.62	$819.62
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $117.05 / $198.99 / $347.40	Professional		$117.05	$198.99	$347.40
United Facility/Professional Professional Modifier Low / Median / High Price $152.94 / $195.80 / $412.13	Professional		$152.94	$195.80	$412.13