Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $301.52 / $301.52 / $1,729.14	Facility		$301.52	$301.52	$1,729.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.44 / $301.52 / $1,729.14	Professional		$250.44	$301.52	$1,729.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $228.97 / $865.03 / $1,902.36	Facility		$228.97	$865.03	$1,902.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.64 / $306.70 / $489.39	Professional		$263.64	$306.70	$489.39
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $709.52 / $1,267.01	Facility		$97.00	$709.52	$1,267.01
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $795.17 / $1,852.24	Professional		$100.00	$795.17	$1,852.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $280.30 / $340.42 / $340.42	Facility		$280.30	$340.42	$340.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.51 / $248.51 / $350.63	Professional		$248.51	$248.51	$350.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $170.66 / $204.79 / $659.23	Professional		$170.66	$204.79	$659.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $359.58 / $419.51 / $910.94	Professional		$359.58	$419.51	$910.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,068.25 / $2,846.68 / $2,846.68	Facility		$1,068.25	$2,846.68	$2,846.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,033.72 / $3,033.72 / $3,905.78	Professional		$3,033.72	$3,033.72	$3,905.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,181.04 / $1,181.04 / $1,181.04	Professional		$1,181.04	$1,181.04	$1,181.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $161.69 / $509.41 / $599.29	Facility		$161.69	$509.41	$599.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $248.51 / $340.42 / $500.88	Professional		$248.51	$340.42	$500.88
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,131.16 / $1,131.16 / $1,131.16	Professional		$1,131.16	$1,131.16	$1,131.16
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $170.66 / $290.12 / $479.44	Professional		$170.66	$290.12	$479.44
United Facility/Professional Professional Modifier Low / Median / High Price $235.75 / $281.44 / $579.88	Professional		$235.75	$281.44	$579.88