Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.34 / $234.34 / $1,244.58	Facility		$234.34	$234.34	$1,244.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.28 / $234.34 / $1,244.58	Professional		$186.28	$234.34	$1,244.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.95 / $646.76 / $1,369.30	Facility		$177.95	$646.76	$1,369.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $211.55 / $260.75 / $392.69	Professional		$211.55	$260.75	$392.69
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $510.71 / $911.98	Facility		$97.00	$510.71	$911.98
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $572.35 / $1,333.19	Professional		$100.00	$572.35	$1,333.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $273.14 / $273.14 / $377.57	Facility		$273.14	$273.14	$377.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.40 / $199.40 / $291.19	Professional		$199.40	$199.40	$291.19
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $240.50 / $288.60 / $474.51	Professional		$240.50	$288.60	$474.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $258.82 / $301.95 / $655.68	Professional		$258.82	$301.95	$655.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $857.17 / $2,049.01 / $2,049.01	Facility		$857.17	$2,049.01	$2,049.01
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,497.19 / $2,497.19 / $3,901.88	Professional		$2,497.19	$2,497.19	$3,901.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $813.72 / $813.72 / $813.72	Professional		$813.72	$813.72	$813.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $125.67 / $381.37 / $437.21	Facility		$125.67	$381.37	$437.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $199.40 / $273.14 / $377.17	Professional		$199.40	$273.14	$377.17
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $814.18 / $814.18 / $814.18	Professional		$814.18	$814.18	$814.18
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $240.50 / $345.10 / $360.75	Professional		$240.50	$345.10	$360.75
United Facility/Professional Professional Modifier Low / Median / High Price $183.23 / $211.76 / $435.21	Professional		$183.23	$211.76	$435.21