Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $273.49 / $1,139.93 / $2,631.79	Facility		$273.49	$1,139.93	$2,631.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.52 / $273.49 / $1,555.42	Professional		$193.52	$273.49	$1,555.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $225.31 / $486.00 / $1,192.57	Facility		$225.31	$486.00	$1,192.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.46 / $387.35 / $917.22	Professional		$119.46	$387.35	$917.22
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 $177.68 / $418.26 / $842.18	Facility		$177.68	$418.26	$842.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.09 / $267.47 / $1,006.72	Professional		$158.09	$267.47	$1,006.72
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $215.02 / $247.27 / $326.57	Professional		$215.02	$247.27	$326.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $217.71 / $278.19 / $534.00	Professional		$217.71	$278.19	$534.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $420.91 / $1,149.03 / $1,149.03	Facility		$420.91	$1,149.03	$1,149.03
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,209.50 / $1,209.50 / $1,814.25	Professional		$1,209.50	$1,209.50	$1,814.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $169.33 / $169.33 / $169.33	Professional		$169.33	$169.33	$169.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $224.85 / $314.47 / $732.74	Facility		$224.85	$314.47	$732.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $168.89 / $290.27 / $741.27	Professional		$168.89	$290.27	$741.27
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $849.06 / $849.06 / $849.06	Professional		$849.06	$849.06	$849.06
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $193.52 / $240.82 / $365.53	Professional		$193.52	$240.82	$365.53
United Facility/Professional Professional Modifier Low / Median / High Price $101.60 / $138.38 / $748.99	Professional		$101.60	$138.38	$748.99