Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $193.15 / $218.25 / $1,553.31	Facility	54	$193.15	$218.25	$1,553.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.02 / $300.02 / $1,016.99	Professional		$240.02	$300.02	$1,016.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $306.32 / $386.62 / $771.93	Professional		$306.32	$386.62	$771.93
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $219.14 / $313.05 / $676.79	Professional		$219.14	$313.05	$676.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.88 / $380.60 / $825.09	Professional		$275.88	$380.60	$825.09
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $165.99 / $377.89 / $519.55	Professional		$165.99	$377.89	$519.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $318.70 / $437.15 / $749.62	Professional		$318.70	$437.15	$749.62
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $989.74 / $1,118.17 / $1,118.17	Facility	54	$989.74	$1,118.17	$1,118.17
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,220.71 / $2,554.08 / $2,979.75	Professional		$2,220.71	$2,554.08	$2,979.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $357.43 / $357.43 / $644.33	Facility	54	$357.43	$357.43	$644.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $285.04 / $407.18 / $838.01	Professional		$285.04	$407.18	$838.01
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $964.40 / $964.40 / $1,087.01	Professional		$964.40	$964.40	$1,087.01
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $185.91 / $343.40 / $480.98	Professional		$185.91	$343.40	$480.98
United Facility/Professional Professional Modifier Low / Median / High Price $254.30 / $326.20 / $721.60	Professional		$254.30	$326.20	$721.60