Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.48 / $399.97 / $2,171.60	Facility		$66.48	$399.97	$2,171.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.48 / $66.48 / $2,171.60	Professional		$66.48	$66.48	$2,171.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $293.00 / $652.39 / $1,665.01	Facility		$293.00	$652.39	$1,665.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.44 / $102.78 / $418.77	Professional		$78.44	$102.78	$418.77
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $244.18 / $952.40	Facility		$92.60	$244.18	$952.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $58.85 / $84.07 / $205.66	Professional		$58.85	$84.07	$205.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $217.32 / $579.53 / $1,130.53	Facility		$217.32	$579.53	$1,130.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.28 / $223.71 / $693.67	Professional		$70.28	$223.71	$693.67
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $75.15 / $337.73 / $455.94	Professional		$75.15	$337.73	$455.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $303.95 / $388.39 / $736.25	Professional		$303.95	$388.39	$736.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $587.65 / $1,604.22 / $1,604.22	Facility		$587.65	$1,604.22	$1,604.22
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,688.65 / $1,688.65 / $2,532.98	Professional		$1,688.65	$1,688.65	$2,532.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $337.73 / $337.73 / $337.73	Professional		$337.73	$337.73	$337.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $96.23 / $405.28 / $970.50	Facility		$96.23	$405.28	$970.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $136.65 / $371.50 / $675.46	Professional		$136.65	$371.50	$675.46
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,185.43 / $1,185.43 / $1,185.43	Professional		$1,185.43	$1,185.43	$1,185.43
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $76.65 / $127.76 / $337.73	Professional		$76.65	$127.76	$337.73
United Facility/Professional Professional Modifier Low / Median / High Price $54.40 / $141.85 / $671.00	Professional		$54.40	$141.85	$671.00