Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $254.06 / $254.06 / $1,627.29	Facility		$254.06	$254.06	$1,627.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.69 / $254.06 / $1,627.29	Professional		$203.69	$254.06	$1,627.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $192.93 / $794.79 / $1,790.31	Facility		$192.93	$794.79	$1,790.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $233.00 / $272.08 / $444.24	Professional		$233.00	$272.08	$444.24
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $667.73 / $1,192.36	Facility		$97.00	$667.73	$1,192.36
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $748.34 / $1,743.14	Professional		$100.00	$748.34	$1,743.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.80 / $293.77 / $301.48	Facility		$263.80	$293.77	$301.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.45 / $214.45 / $313.17	Professional		$214.45	$214.45	$313.17
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $209.13 / $250.96 / $620.40	Professional		$209.13	$250.96	$620.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $338.40 / $394.80 / $857.28	Professional		$338.40	$394.80	$857.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $935.48 / $2,270.36 / $2,679.00	Facility		$935.48	$2,270.36	$2,679.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,957.04 / $3,028.01 / $3,172.50	Professional		$2,957.04	$3,028.01	$3,172.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,544.36 / $1,544.36 / $1,544.36	Professional		$1,544.36	$1,544.36	$1,544.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $136.24 / $479.40 / $571.64	Facility		$136.24	$479.40	$571.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $214.45 / $293.77 / $459.48	Professional		$214.45	$293.77	$459.48
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,064.53 / $1,064.53 / $1,064.53	Professional		$1,064.53	$1,064.53	$1,064.53
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $209.13 / $355.52 / $451.20	Professional		$209.13	$355.52	$451.20
United Facility/Professional Facility Modifier Low / Median / High Price $479.40 / $564.00 / $564.00	Facility		$479.40	$564.00	$564.00
United Facility/Professional Professional Modifier Low / Median / High Price $198.64 / $254.31 / $569.04	Professional		$198.64	$254.31	$569.04