Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.53 / $521.09 / $2,829.20	Facility		$132.53	$521.09	$2,829.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.86 / $150.19 / $2,829.20	Professional		$114.86	$150.19	$2,829.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $312.00 / $849.95 / $2,169.19	Facility		$312.00	$849.95	$2,169.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.00 / $579.02 / $1,371.08	Professional		$176.00	$579.02	$1,371.08
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $318.12 / $1,240.80	Facility		$92.60	$318.12	$1,240.80
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $52.68 / $75.26 / $360.26	Professional		$52.68	$75.26	$360.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $283.14 / $755.04 / $1,472.90	Facility		$283.14	$755.04	$1,472.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.84 / $291.44 / $903.40	Professional		$95.84	$291.44	$903.40
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $141.01 / $440.00 / $594.00	Professional		$141.01	$440.00	$594.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $396.00 / $506.00 / $959.20	Professional		$396.00	$506.00	$959.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $765.60 / $2,090.00 / $2,090.00	Facility		$765.60	$2,090.00	$2,090.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,200.00 / $2,200.00 / $3,300.00	Professional		$2,200.00	$2,200.00	$3,300.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $528.00 / $528.00 / $528.00	Professional		$528.00	$528.00	$528.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $209.72 / $528.00 / $1,262.11	Facility		$209.72	$528.00	$1,262.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $186.42 / $484.00 / $880.00	Professional		$186.42	$484.00	$880.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,544.40 / $1,544.40 / $1,544.40	Professional		$1,544.40	$1,544.40	$1,544.40
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $143.83 / $239.72 / $440.00	Professional		$143.83	$239.72	$440.00
United Facility/Professional Professional Modifier Low / Median / High Price $74.20 / $184.80 / $874.19	Professional		$74.20	$184.80	$874.19