Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.98 / $167.98 / $1,075.98	Facility		$167.98	$167.98	$1,075.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.12 / $167.98 / $1,075.98	Professional		$125.12	$167.98	$1,075.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $127.56 / $525.53 / $1,183.79	Facility		$127.56	$525.53	$1,183.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.13 / $170.68 / $260.11	Professional		$140.13	$170.68	$260.11
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $98.20 / $441.50 / $788.40	Facility		$98.20	$441.50	$788.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $494.80 / $1,152.57	Professional		$100.00	$494.80	$1,152.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.42 / $174.77 / $199.34	Facility		$174.42	$174.77	$199.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.58 / $127.58 / $186.32	Professional		$127.58	$127.58	$186.32
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $143.80 / $172.56 / $410.22	Professional		$143.80	$172.56	$410.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $223.76 / $261.05 / $578.04	Professional		$223.76	$261.05	$578.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $567.77 / $1,528.02 / $1,771.42	Facility		$567.77	$1,528.02	$1,771.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,135.48 / $2,186.73 / $2,186.73	Professional		$2,135.48	$2,186.73	$2,186.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $652.22 / $652.22 / $652.22	Professional		$652.22	$652.22	$652.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $90.08 / $322.29 / $378.34	Facility		$90.08	$322.29	$378.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $127.58 / $174.77 / $354.95	Professional		$127.58	$174.77	$354.95
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $703.88 / $703.88 / $703.88	Professional		$703.88	$703.88	$703.88
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $143.80 / $244.46 / $298.33	Professional		$143.80	$244.46	$298.33
United Facility/Professional Professional Modifier Low / Median / High Price $129.01 / $158.72 / $344.47	Professional		$129.01	$158.72	$344.47