Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.42 / $856.59 / $1,925.88	Facility		$251.42	$856.59	$1,925.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.26 / $251.42 / $1,901.93	Professional		$192.26	$251.42	$1,901.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $260.00 / $590.10 / $1,458.24	Facility		$260.00	$590.10	$1,458.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.32 / $362.13 / $857.51	Professional		$118.32	$362.13	$857.51
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $390.44 / $2,653.24	Facility		$59.40	$390.44	$2,653.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $134.58 / $192.26 / $483.32	Professional		$134.58	$192.26	$483.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.07 / $507.57 / $990.14	Facility		$204.07	$507.57	$990.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.56 / $287.30 / $1,204.58	Professional		$157.56	$287.30	$1,204.58
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $236.63 / $295.79 / $399.32	Professional		$236.63	$295.79	$399.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $266.20 / $340.16 / $650.74	Professional		$266.20	$340.16	$650.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $514.66 / $1,405.00 / $1,405.00	Facility		$514.66	$1,405.00	$1,405.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,478.95 / $1,478.95 / $2,218.42	Professional		$1,478.95	$1,478.95	$2,218.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $236.63 / $354.95 / $848.44	Facility		$236.63	$354.95	$848.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $159.16 / $340.16 / $801.05	Professional		$159.16	$340.16	$801.05
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,038.22 / $1,038.22 / $1,038.22	Professional		$1,038.22	$1,038.22	$1,038.22
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $236.63 / $266.20 / $402.27	Professional		$236.63	$266.20	$402.27
United Facility/Professional Professional Modifier Low / Median / High Price $124.23 / $129.25 / $593.65	Professional		$124.23	$129.25	$593.65