Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $343.45 / $343.45 / $1,371.52	Facility		$343.45	$343.45	$1,371.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.64 / $343.45 / $1,371.52	Professional		$170.64	$343.45	$1,371.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $203.00 / $434.41 / $1,051.57	Facility		$203.00	$434.41	$1,051.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.32 / $360.93 / $825.47	Professional		$85.32	$360.93	$825.47
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $154.22 / $601.51	Facility		$92.60	$154.22	$601.51
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $68.92 / $98.46 / $1,023.84	Professional		$68.92	$98.46	$1,023.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.26 / $368.81 / $714.05	Facility		$137.26	$368.81	$714.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.29 / $141.66 / $620.62	Professional		$82.29	$141.66	$620.62
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $121.06 / $213.30 / $287.95	Professional		$121.06	$213.30	$287.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $191.97 / $245.30 / $464.99	Professional		$191.97	$245.30	$464.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $371.14 / $1,013.18 / $1,013.18	Facility		$371.14	$1,013.18	$1,013.18
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,066.50 / $1,066.50 / $1,599.75	Professional		$1,066.50	$1,066.50	$1,599.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $255.96 / $255.96 / $255.96	Professional		$255.96	$255.96	$255.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $151.47 / $280.07 / $612.97	Facility		$151.47	$280.07	$612.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $103.49 / $234.63 / $437.99	Professional		$103.49	$234.63	$437.99
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $748.68 / $748.68 / $748.68	Professional		$748.68	$748.68	$748.68
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $123.48 / $170.64 / $213.30	Professional		$123.48	$170.64	$213.30
United Facility/Professional Professional Modifier Low / Median / High Price $63.72 / $89.59 / $548.82	Professional		$63.72	$89.59	$548.82