Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $1,445.44 / $2,398.83	Facility		$398.11	$1,445.44	$2,398.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $269.15 / $371.54	Professional		$213.80	$269.15	$371.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $794.33 / $1,621.81	Facility		$416.87	$794.33	$1,621.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $416.87 / $831.76	Professional		$158.49	$416.87	$831.76
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $831.76 / $3,467.37	Facility		$69.18	$831.76	$3,467.37
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $251.19 / $645.65	Professional		$190.55	$251.19	$645.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $537.03 / $1,148.15	Facility		$218.78	$537.03	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $354.81 / $436.52	Professional		$257.04	$354.81	$436.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $354.81 / $562.34	Professional		$288.40	$354.81	$562.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Facility		$1,548.82	$1,548.82	$1,548.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,398.83 / $2,398.83	Professional		$1,621.81	$2,398.83	$2,398.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $389.05 / $954.99	Facility		$263.03	$389.05	$954.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $354.81 / $467.74	Professional		$323.59	$354.81	$467.74
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $323.59 / $3,890.45	Professional		$257.04	$323.59	$3,890.45
United Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $323.59 / $323.59	Facility		$134.90	$323.59	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $151.36 / $616.60	Professional		$134.90	$151.36	$616.60