Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $248.84 / $248.84 / $1,590.75	Facility		$248.84	$248.84	$1,590.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.39 / $248.84 / $1,590.75	Professional		$181.39	$248.84	$1,590.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $188.96 / $776.95 / $1,750.12	Facility		$188.96	$776.95	$1,750.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $212.62 / $248.84 / $394.68	Professional		$212.62	$248.84	$394.68
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $652.76 / $1,165.64	Facility		$97.00	$652.76	$1,165.64
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $731.54 / $1,704.00	Professional		$100.00	$731.54	$1,704.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.89 / $274.52 / $294.73	Facility		$257.89	$274.52	$294.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.41 / $200.41 / $292.66	Professional		$200.41	$200.41	$292.66
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $209.13 / $250.96 / $606.47	Professional		$209.13	$250.96	$606.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $330.80 / $385.94 / $838.04	Professional		$330.80	$385.94	$838.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $861.51 / $2,618.87 / $2,618.87	Facility		$861.51	$2,618.87	$2,618.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,646.43 / $2,646.43 / $3,317.78	Professional		$2,646.43	$2,646.43	$3,317.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $849.33 / $849.33 / $849.33	Professional		$849.33	$849.33	$849.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $133.44 / $453.13 / $551.34	Facility		$133.44	$453.13	$551.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $200.41 / $274.52 / $464.91	Professional		$200.41	$274.52	$464.91
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,040.63 / $1,040.63 / $1,040.63	Professional		$1,040.63	$1,040.63	$1,040.63
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $209.13 / $355.52 / $441.07	Professional		$209.13	$355.52	$441.07
United Facility/Professional Professional Modifier Low / Median / High Price $194.56 / $226.85 / $523.79	Professional		$194.56	$226.85	$523.79