Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $933.25	Facility		$95.50	$95.50	$933.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $95.50 / $812.83	Professional		$69.18	$95.50	$812.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $93.33 / $416.87	Facility		$72.44	$93.33	$416.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $234.42	Professional		$95.50	$95.50	$234.42
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $371.54 / $501.19	Facility		$100.00	$371.54	$501.19
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $398.11 / $691.83	Professional		$204.17	$398.11	$691.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $107.15	Facility		$100.00	$100.00	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $100.00	Professional		$72.44	$72.44	$100.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $109.65 / $263.03	Professional		$89.13	$109.65	$263.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $194.98 / $354.81	Professional		$128.82	$194.98	$354.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Facility		$1,000.00	$1,000.00	$1,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Professional		$1,202.26	$1,202.26	$1,202.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Professional		$213.80	$213.80	$213.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $186.21 / $263.03	Facility		$53.70	$186.21	$263.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $181.97	Professional		$72.44	$72.44	$181.97
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $131.83 / $194.98	Professional		$89.13	$131.83	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $104.71 / $218.78	Facility		$13.18	$104.71	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $95.50 / $213.80	Professional		$74.13	$95.50	$213.80