Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.97 / $598.44 / $3,959.93	Facility		$204.97	$598.44	$3,959.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.97 / $204.97 / $2,899.35	Professional		$204.97	$204.97	$2,899.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $312.00 / $871.02 / $2,222.98	Facility		$312.00	$871.02	$2,222.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $180.36 / $226.29 / $676.36	Professional		$180.36	$226.29	$676.36
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $326.01 / $1,271.57	Facility		$92.60	$326.01	$1,271.57
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $205.16 / $293.08 / $825.44	Professional		$205.16	$293.08	$825.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $301.08 / $779.62 / $1,509.41	Facility		$301.08	$779.62	$1,509.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.95 / $328.88 / $1,236.02	Professional		$243.95	$328.88	$1,236.02
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $450.91 / $496.00 / $608.73	Professional		$450.91	$496.00	$608.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $405.82 / $518.54 / $982.98	Professional		$405.82	$518.54	$982.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $784.58 / $2,141.82 / $2,141.82	Facility		$784.58	$2,141.82	$2,141.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,254.55 / $2,254.55 / $3,381.83	Professional		$2,254.55	$2,254.55	$3,381.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $541.10 / $541.10 / $541.10	Professional		$541.10	$541.10	$541.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $293.11 / $541.09 / $1,295.75	Facility		$293.11	$541.09	$1,295.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $264.86 / $496.00 / $1,015.22	Professional		$264.86	$496.00	$1,015.22
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,582.69 / $1,582.69 / $1,582.69	Professional		$1,582.69	$1,582.69	$1,582.69
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $360.73 / $459.93 / $766.55	Professional		$360.73	$459.93	$766.55
United Facility/Professional Professional Modifier Low / Median / High Price $189.38 / $190.71 / $904.98	Professional		$189.38	$190.71	$904.98