Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $256.14 / $872.70 / $1,962.11	Facility		$256.14	$872.70	$1,962.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.88 / $256.14 / $1,937.68	Professional		$195.88	$256.14	$1,937.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $262.63 / $601.19 / $1,485.66	Facility		$262.63	$601.19	$1,485.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.54 / $282.37 / $691.44	Professional		$120.54	$282.37	$691.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $98.20 / $455.04 / $828.71	Facility		$98.20	$455.04	$828.71
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $137.12 / $195.88 / $492.42	Professional		$137.12	$195.88	$492.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.85 / $505.37 / $1,008.78	Facility		$204.85	$505.37	$1,008.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.50 / $250.82 / $914.80	Professional		$159.50	$250.82	$914.80
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $241.08 / $301.35 / $406.82	Professional		$241.08	$301.35	$406.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $271.22 / $346.55 / $656.94	Professional		$271.22	$346.55	$656.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $524.35 / $1,431.41 / $1,431.41	Facility		$524.35	$1,431.41	$1,431.41
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,506.75 / $1,506.75 / $2,260.13	Professional		$1,506.75	$1,506.75	$2,260.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $241.08 / $361.62 / $864.42	Facility		$241.08	$361.62	$864.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $161.87 / $342.23 / $814.69	Professional		$161.87	$342.23	$814.69
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,057.73 / $1,057.73 / $1,057.73	Professional		$1,057.73	$1,057.73	$1,057.73
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $241.08 / $271.22 / $409.84	Professional		$241.08	$271.22	$409.84
United Facility/Professional Professional Modifier Low / Median / High Price $126.57 / $135.61 / $809.34	Professional		$126.57	$135.61	$809.34