Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $1,096.48 / $1,995.26	Facility		$446.68	$1,096.48	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $257.04 / $1,995.26	Professional		$194.98	$257.04	$1,995.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $707.95 / $1,513.56	Facility		$141.25	$707.95	$1,513.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $316.23 / $691.83	Professional		$269.15	$316.23	$691.83
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $645.65 / $851.14	Facility		$100.00	$645.65	$851.14
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $234.42 / $602.56	Professional		$177.83	$234.42	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $512.86 / $1,096.48	Facility		$204.17	$512.86	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $204.17 / $691.83	Professional		$154.88	$204.17	$691.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $302.00 / $407.38	Professional		$239.88	$302.00	$407.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $331.13 / $524.81	Professional		$269.15	$331.13	$524.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Facility		$1,445.44	$1,445.44	$1,445.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,238.72 / $2,238.72	Professional		$1,513.56	$2,238.72	$2,238.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $363.08 / $891.25	Facility		$239.88	$363.08	$891.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $302.00 / $616.60	Professional		$162.18	$302.00	$616.60
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Professional		$1,047.13	$1,047.13	$1,047.13
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $302.00 / $3,630.78	Professional		$239.88	$302.00	$3,630.78
United Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $302.00 / $302.00	Facility		$125.89	$302.00	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $575.44	Professional		$125.89	$125.89	$575.44