Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.75 / $156.75 / $902.20	Facility		$156.75	$156.75	$902.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.03 / $156.75 / $902.20	Professional		$122.03	$156.75	$902.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $119.03 / $451.35 / $992.60	Facility		$119.03	$451.35	$992.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.71 / $159.44 / $323.62	Professional		$158.71	$159.44	$323.62
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $370.22 / $661.10	Facility		$97.00	$370.22	$661.10
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $414.90 / $966.42	Professional		$100.00	$414.90	$966.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $146.26 / $225.10 / $225.10	Facility		$146.26	$225.10	$225.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.32 / $164.32 / $231.85	Professional		$164.32	$164.32	$231.85
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $129.68 / $155.62 / $343.97	Professional		$129.68	$155.62	$343.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $187.62 / $218.89 / $484.69	Professional		$187.62	$218.89	$484.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $706.40 / $1,485.33 / $1,485.33	Facility		$706.40	$1,485.33	$1,485.33
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,670.30 / $1,670.30 / $2,609.85	Professional		$1,670.30	$1,670.30	$2,609.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $571.37 / $571.37 / $571.37	Professional		$571.37	$571.37	$571.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $84.06 / $268.43 / $316.94	Facility		$84.06	$268.43	$316.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $164.32 / $225.10 / $265.80	Professional		$164.32	$225.10	$265.80
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $590.20 / $590.20 / $590.20	Professional		$590.20	$590.20	$590.20
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $129.68 / $220.46 / $250.16	Professional		$129.68	$220.46	$250.16
United Facility/Professional Facility Modifier Low / Median / High Price $82.93 / $172.06 / $200.64	Facility		$82.93	$172.06	$200.64
United Facility/Professional Professional Modifier Low / Median / High Price $123.90 / $154.61 / $301.64	Professional		$123.90	$154.61	$301.64