Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.25 / $167.25 / $1,071.22	Facility		$167.25	$167.25	$1,071.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.57 / $167.25 / $1,071.22	Professional		$124.57	$167.25	$1,071.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $127.01 / $523.21 / $1,178.55	Facility		$127.01	$523.21	$1,178.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.19 / $169.34 / $345.29	Professional		$169.19	$169.34	$345.29
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $439.58 / $784.96	Facility		$97.00	$439.58	$784.96
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $492.63 / $1,147.49	Professional		$100.00	$492.63	$1,147.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.66 / $177.64 / $198.47	Facility		$173.66	$177.64	$198.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.68 / $129.68 / $189.38	Professional		$129.68	$129.68	$189.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $179.71 / $215.65 / $408.41	Professional		$179.71	$215.65	$408.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $222.77 / $259.89 / $575.48	Professional		$222.77	$259.89	$575.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $753.70 / $1,763.58 / $1,763.58	Facility		$753.70	$1,763.58	$1,763.58
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,837.84 / $1,863.32 / $2,631.83	Professional		$1,837.84	$1,863.32	$2,631.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $761.12 / $761.12 / $761.12	Professional		$761.12	$761.12	$761.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $89.69 / $322.52 / $371.28	Facility		$89.69	$322.52	$371.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $129.68 / $177.64 / $278.83	Professional		$129.68	$177.64	$278.83
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $700.77 / $700.77 / $700.77	Professional		$700.77	$700.77	$700.77
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $179.71 / $297.02 / $297.02	Professional		$179.71	$297.02	$297.02
United Facility/Professional Professional Modifier Low / Median / High Price $130.77 / $167.42 / $359.25	Professional		$130.77	$167.42	$359.25