Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.36 / $155.36 / $746.33	Facility		$155.36	$155.36	$746.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.72 / $155.36 / $746.33	Professional		$115.72	$155.36	$746.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.98 / $396.56 / $821.13	Facility		$117.98	$396.56	$821.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.09 / $157.30 / $320.76	Professional		$156.09	$157.30	$320.76
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $306.24 / $546.87	Facility		$97.00	$306.24	$546.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $343.22 / $799.46	Professional		$100.00	$343.22	$799.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.99 / $161.63 / $161.63	Facility		$120.99	$161.63	$161.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.99 / $117.99 / $172.31	Professional		$117.99	$117.99	$172.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $76.95 / $92.34 / $284.55	Professional		$76.95	$92.34	$284.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $155.21 / $181.08 / $400.95	Professional		$155.21	$181.08	$400.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $579.42 / $1,316.67 / $1,316.67	Facility		$579.42	$1,316.67	$1,316.67
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,707.26 / $1,707.26 / $1,940.10	Professional		$1,707.26	$1,707.26	$1,940.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $707.04 / $707.04 / $707.04	Professional		$707.04	$707.04	$707.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.31 / $228.69 / $271.61	Facility		$83.31	$228.69	$271.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $117.99 / $161.63 / $246.21	Professional		$117.99	$161.63	$246.21
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $488.23 / $488.23 / $488.23	Professional		$488.23	$488.23	$488.23
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $76.95 / $130.82 / $206.94	Professional		$76.95	$130.82	$206.94
United Facility/Professional Facility Modifier Low / Median / High Price $82.20 / $170.54 / $198.86	Facility		$82.20	$170.54	$198.86
United Facility/Professional Professional Modifier Low / Median / High Price $121.48 / $129.05 / $258.68	Professional		$121.48	$129.05	$258.68