Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $1,023.29 / $1,698.24	Facility		$309.03	$1,023.29	$1,698.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $204.17 / $275.42	Professional		$162.18	$204.17	$275.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,258.93 / $1,258.93	Facility		$630.96	$1,258.93	$1,258.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $93.33 / $275.42	Professional		$66.07	$93.33	$275.42
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $562.34 / $707.95	Facility		$177.83	$562.34	$707.95
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $190.55 / $489.78	Professional		$144.54	$190.55	$489.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $416.87 / $891.25	Facility		$169.82	$416.87	$891.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $275.42 / $338.84	Professional		$199.53	$275.42	$338.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $275.42 / $436.52	Professional		$223.87	$275.42	$436.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Facility		$1,174.90	$1,174.90	$1,174.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,862.09 / $1,862.09	Professional		$1,230.27	$1,862.09	$1,862.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $295.12 / $645.65	Facility		$194.98	$295.12	$645.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $275.42 / $354.81	Professional		$251.19	$275.42	$354.81
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Professional		$251.19	$251.19	$251.19
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $251.19 / $2,951.21	Professional		$199.53	$251.19	$2,951.21
United Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $251.19 / $251.19	Facility		$104.71	$251.19	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $478.63	Professional		$104.71	$104.71	$478.63