Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.74 / $103.74 / $1,959.93	Facility		$103.74	$103.74	$1,959.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.74 / $103.74 / $1,959.93	Professional		$103.74	$103.74	$1,959.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $265.64 / $608.10 / $1,502.71	Facility		$265.64	$608.10	$1,502.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.92 / $359.57 / $851.44	Professional		$121.92	$359.57	$851.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $220.38 / $859.56	Facility		$92.60	$220.38	$859.56
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $90.00 / $255.90	Professional		$63.00	$90.00	$255.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.89 / $527.03 / $1,020.37	Facility		$223.89	$527.03	$1,020.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.38 / $262.27 / $825.41	Professional		$162.38	$262.27	$825.41
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $304.81 / $335.29 / $411.49	Professional		$304.81	$335.29	$411.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $274.33 / $350.53 / $664.49	Professional		$274.33	$350.53	$664.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $530.37 / $1,447.85 / $1,447.85	Facility		$530.37	$1,447.85	$1,447.85
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,524.05 / $1,524.05 / $2,286.08	Professional		$1,524.05	$1,524.05	$2,286.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $304.81 / $304.81 / $304.81	Professional		$304.81	$304.81	$304.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $198.13 / $365.77 / $875.93	Facility		$198.13	$365.77	$875.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $202.01 / $350.53 / $609.62	Professional		$202.01	$350.53	$609.62
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,069.88 / $1,069.88 / $1,069.88	Professional		$1,069.88	$1,069.88	$1,069.88
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $243.85 / $310.91 / $518.17	Professional		$243.85	$310.91	$518.17
United Facility/Professional Professional Modifier Low / Median / High Price $128.02 / $133.19 / $784.28	Professional		$128.02	$133.19	$784.28