Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $1,698.24 / $2,951.21	Facility		$407.38	$1,698.24	$2,951.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $380.19 / $501.19	Professional		$288.40	$380.19	$501.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,148.15 / $2,344.23	Facility		$602.56	$1,148.15	$2,344.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $851.14 / $1,380.38	Professional		$467.74	$851.14	$1,380.38
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $1,096.48 / $4,466.84	Facility		$69.18	$1,096.48	$4,466.84
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $363.08 / $933.25	Professional		$275.42	$363.08	$933.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $776.25 / $1,548.82	Facility		$316.23	$776.25	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Professional		$316.23	$316.23	$316.23
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $512.86 / $630.96	Professional		$371.54	$512.86	$630.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $512.86 / $812.83	Professional		$416.87	$512.86	$812.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Facility		$2,238.72	$2,238.72	$2,238.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,467.37 / $3,467.37	Professional		$2,344.23	$3,467.37	$3,467.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $562.34 / $1,230.27	Facility		$371.54	$562.34	$1,230.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $512.86 / $676.08	Professional		$467.74	$512.86	$676.08
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Professional		$467.74	$467.74	$467.74
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $467.74 / $5,623.41	Professional		$371.54	$467.74	$5,623.41
United Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $467.74 / $467.74	Facility		$194.98	$467.74	$467.74
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $891.25	Professional		$194.98	$194.98	$891.25