Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.14 / $192.14 / $1,008.49	Facility		$192.14	$192.14	$1,008.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.74 / $192.14 / $1,008.49	Professional		$153.74	$192.14	$1,008.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $145.91 / $530.30 / $1,109.51	Facility		$145.91	$530.30	$1,109.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $179.41 / $195.45 / $333.03	Professional		$179.41	$195.45	$333.03
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $413.81 / $738.95	Facility		$97.00	$413.81	$738.95
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $463.77 / $1,080.27	Professional		$100.00	$463.77	$1,080.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $231.66 / $231.66 / $277.67	Facility		$231.66	$231.66	$277.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.11 / $169.11 / $246.96	Professional		$169.11	$169.11	$246.96
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $186.83 / $224.20 / $384.48	Professional		$186.83	$224.20	$384.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $209.72 / $244.67 / $541.77	Professional		$209.72	$244.67	$541.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $601.61 / $1,667.62 / $1,667.62	Facility		$601.61	$1,667.62	$1,667.62
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,803.01 / $1,803.01 / $2,621.48	Professional		$1,803.01	$1,803.01	$2,621.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $738.10 / $738.10 / $738.10	Professional		$738.10	$738.10	$738.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $103.04 / $315.20 / $360.05	Facility		$103.04	$315.20	$360.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $169.11 / $231.66 / $332.69	Professional		$169.11	$231.66	$332.69
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $659.73 / $659.73 / $659.73	Professional		$659.73	$659.73	$659.73
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $186.83 / $279.62 / $280.25	Professional		$186.83	$279.62	$280.25
United Facility/Professional Professional Modifier Low / Median / High Price $150.22 / $171.18 / $332.57	Professional		$150.22	$171.18	$332.57