Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $274.00 / $428.21 / $1,286.00	Facility		$274.00	$428.21	$1,286.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $428.21 / $1,286.00	Professional		$170.00	$428.21	$1,286.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $203.00 / $407.32 / $986.00	Facility		$203.00	$407.32	$986.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.20 / $82.40 / $268.00	Professional		$54.20	$82.40	$268.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $144.60 / $564.00	Facility		$92.60	$144.60	$564.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $307.26 / $438.94 / $1,097.57	Professional		$307.26	$438.94	$1,097.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $146.90 / $345.80 / $669.50	Facility		$146.90	$345.80	$669.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.47 / $172.05 / $541.83	Professional		$106.47	$172.05	$541.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $160.00 / $200.00 / $270.00	Professional		$160.00	$200.00	$270.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $180.00 / $230.00 / $436.00	Professional		$180.00	$230.00	$436.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $348.00 / $950.00 / $950.00	Facility		$348.00	$950.00	$950.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,500.00	Professional		$1,000.00	$1,000.00	$1,500.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $240.00 / $240.00	Professional		$240.00	$240.00	$240.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $185.90 / $270.00 / $612.34	Facility		$185.90	$270.00	$612.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $132.86 / $230.00 / $400.00	Professional		$132.86	$230.00	$400.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $702.00 / $702.00 / $702.00	Professional		$702.00	$702.00	$702.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $160.00 / $180.00 / $272.00	Professional		$160.00	$180.00	$272.00
United Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $87.39 / $397.36	Professional		$84.00	$87.39	$397.36