Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.93 / $375.25 / $2,412.86	Facility		$69.93	$375.25	$2,412.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.61 / $79.25 / $2,412.86	Professional		$60.61	$79.25	$2,412.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $312.00 / $724.87 / $1,849.98	Facility		$312.00	$724.87	$1,849.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.10 / $478.32 / $1,132.63	Professional		$150.10	$478.32	$1,132.63
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $271.31 / $1,058.21	Facility		$92.60	$271.31	$1,058.21
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $27.80 / $39.71 / $190.09	Professional		$27.80	$39.71	$190.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $241.47 / $643.91 / $1,256.14	Facility		$241.47	$643.91	$1,256.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.53 / $225.15 / $770.74	Professional		$50.53	$225.15	$770.74
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $74.41 / $375.25 / $506.59	Professional		$74.41	$375.25	$506.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $337.73 / $431.54 / $818.05	Professional		$337.73	$431.54	$818.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $652.94 / $1,782.44 / $1,782.44	Facility		$652.94	$1,782.44	$1,782.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,876.25 / $1,876.25 / $2,814.38	Professional		$1,876.25	$1,876.25	$2,814.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $375.25 / $375.25 / $375.25	Professional		$375.25	$375.25	$375.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $110.67 / $450.30 / $1,076.36	Facility		$110.67	$450.30	$1,076.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $98.37 / $412.78 / $750.50	Professional		$98.37	$412.78	$750.50
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,317.12 / $1,317.12 / $1,317.12	Professional		$1,317.12	$1,317.12	$1,317.12
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $75.90 / $126.50 / $375.25	Professional		$75.90	$126.50	$375.25
United Facility/Professional Professional Modifier Low / Median / High Price $39.15 / $157.61 / $745.55	Professional		$39.15	$157.61	$745.55