Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.38 / $133.38 / $854.28	Facility		$133.38	$133.38	$854.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.97 / $133.38 / $854.28	Professional		$104.97	$133.38	$854.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.28 / $417.25 / $939.88	Facility		$101.28	$417.25	$939.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.47 / $133.38 / $219.89	Professional		$118.47	$133.38	$219.89
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $350.55 / $625.98	Facility		$97.00	$350.55	$625.98
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $392.86 / $915.12	Professional		$100.00	$392.86	$915.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.49 / $138.76 / $158.27	Facility		$138.49	$138.76	$158.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.29 / $101.29 / $147.91	Professional		$101.29	$101.29	$147.91
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $105.52 / $126.62 / $325.70	Professional		$105.52	$126.62	$325.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.65 / $207.26 / $458.94	Professional		$177.65	$207.26	$458.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $464.87 / $1,184.51 / $1,406.43	Facility		$464.87	$1,184.51	$1,406.43
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,469.79 / $1,505.07 / $1,809.15	Professional		$1,469.79	$1,505.07	$1,809.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $546.14 / $546.14 / $546.14	Professional		$546.14	$546.14	$546.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $71.52 / $259.27 / $296.08	Facility		$71.52	$259.27	$296.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $101.29 / $138.76 / $281.82	Professional		$101.29	$138.76	$281.82
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $558.85 / $558.85 / $558.85	Professional		$558.85	$558.85	$558.85
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $105.52 / $179.38 / $236.87	Professional		$105.52	$179.38	$236.87
United Facility/Professional Facility Modifier Low / Median / High Price $251.68 / $296.08 / $296.08	Facility		$251.68	$296.08	$296.08
United Facility/Professional Professional Modifier Low / Median / High Price $105.43 / $132.91 / $263.83	Professional		$105.43	$132.91	$263.83