Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $280.08 / $1,139.93 / $2,631.79	Facility		$280.08	$1,139.93	$2,631.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $214.18 / $280.08 / $1,929.00	Professional		$214.18	$280.08	$1,929.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $261.45 / $598.50 / $1,479.00	Facility		$261.45	$598.50	$1,479.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $504.70 / $1,138.35	Professional		$120.00	$504.70	$1,138.35
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $434.95 / $2,955.70	Facility		$59.40	$434.95	$2,955.70
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $149.93 / $214.18 / $538.42	Professional		$149.93	$214.18	$538.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $220.35 / $518.70 / $1,004.25	Facility		$220.35	$518.70	$1,004.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.48 / $268.99 / $1,006.72	Professional		$168.48	$268.99	$1,006.72
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $300.00 / $405.00	Professional		$240.00	$300.00	$405.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $270.00 / $345.00 / $660.00	Professional		$270.00	$345.00	$660.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $522.00 / $1,425.00 / $1,425.00	Facility		$522.00	$1,425.00	$1,425.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $1,500.00 / $2,250.00	Professional		$1,500.00	$1,500.00	$2,250.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $210.00 / $210.00 / $210.00	Professional		$210.00	$210.00	$210.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $255.00 / $375.00 / $862.10	Facility		$255.00	$375.00	$862.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $179.10 / $345.00 / $811.77	Professional		$179.10	$345.00	$811.77
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,053.00 / $1,053.00 / $1,053.00	Professional		$1,053.00	$1,053.00	$1,053.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $270.00 / $408.00	Professional		$240.00	$270.00	$408.00
United Facility/Professional Professional Modifier Low / Median / High Price $126.00 / $138.38 / $722.37	Professional		$126.00	$138.38	$722.37