Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.84 / $1,098.49 / $1,098.49	Facility		$153.84	$1,098.49	$1,098.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.20 / $988.51 / $1,317.10	Professional		$269.20	$988.51	$1,317.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.88 / $570.00 / $876.00	Facility		$74.88	$570.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.80 / $307.93 / $723.53	Professional		$177.80	$307.93	$723.53
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $1,662.43 / $4,075.48 / $7,954.91	Facility		$1,662.43	$4,075.48	$7,954.91
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $198.97 / $295.20 / $730.47	Professional		$198.97	$295.20	$730.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.09 / $338.11 / $516.78	Professional		$243.09	$338.11	$516.78
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $145.05 / $200.15 / $270.20	Professional		$145.05	$200.15	$270.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $153.68 / $200.15 / $341.50	Professional		$153.68	$200.15	$341.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,143.00 / $1,240.47 / $1,341.32	Facility		$1,143.00	$1,240.47	$1,341.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,492.00 / $3,492.00 / $3,492.00	Professional		$3,492.00	$3,492.00	$3,492.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $92.08	Professional		$32.34	$32.34	$92.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $175.43 / $283.68 / $749.22	Facility		$175.43	$283.68	$749.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $215.96 / $342.20 / $454.96	Professional		$215.96	$342.20	$454.96
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $568.80 / $568.80 / $568.80	Professional		$568.80	$568.80	$568.80
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $161.85 / $222.54 / $1,205.17	Professional		$161.85	$222.54	$1,205.17
United Facility/Professional Facility Modifier Low / Median / High Price $182.23 / $182.23 / $182.23	Facility		$182.23	$182.23	$182.23
United Facility/Professional Professional Modifier Low / Median / High Price $174.67 / $220.48 / $583.66	Professional		$174.67	$220.48	$583.66