Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $297.83 / $1,018.51 / $1,795.45	Facility		$297.83	$1,018.51	$1,795.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.38 / $198.81 / $198.81	Professional		$186.38	$198.81	$198.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $614.00 / $1,245.04	Facility		$244.00	$614.00	$1,245.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.20 / $85.39 / $218.68	Professional		$66.20	$85.39	$218.68
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $179.67 / $700.80	Facility		$92.60	$179.67	$700.80
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $113.07 / $161.53 / $406.07	Professional		$113.07	$161.53	$406.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $168.93 / $416.75 / $831.88	Facility		$168.93	$416.75	$831.88
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $198.81 / $248.51 / $335.49	Professional		$198.81	$248.51	$335.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $223.66 / $285.79 / $474.65	Professional		$223.66	$285.79	$474.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $432.41 / $1,180.42 / $1,180.42	Facility		$432.41	$1,180.42	$1,180.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,242.55 / $1,242.55 / $1,863.83	Professional		$1,242.55	$1,242.55	$1,863.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $198.81 / $298.20 / $659.37	Facility		$198.81	$298.20	$659.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $248.51 / $273.36 / $372.77	Professional		$248.51	$273.36	$372.77
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $248.51 / $248.51 / $248.51	Professional		$248.51	$248.51	$248.51
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $198.81 / $223.66 / $337.98	Professional		$198.81	$223.66	$337.98
United Facility/Professional Professional Modifier Low / Median / High Price $104.37 / $104.37 / $639.41	Professional		$104.37	$104.37	$639.41