Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $281.86 / $1,530.34	Facility		$150.00	$281.86	$1,530.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $1,530.34	Professional		$150.00	$150.00	$1,530.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $221.67 / $479.12 / $1,173.33	Facility		$221.67	$479.12	$1,173.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.20 / $262.08 / $620.62	Professional		$95.20	$262.08	$620.62
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $172.07 / $671.16	Facility		$92.60	$172.07	$671.16
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $73.45 / $104.94 / $964.65	Professional		$73.45	$104.94	$964.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.15 / $411.50 / $796.71	Facility		$153.15	$411.50	$796.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.71 / $158.13 / $662.97	Professional		$87.71	$158.13	$662.97
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $129.02 / $238.00 / $321.30	Professional		$129.02	$238.00	$321.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $214.20 / $273.70 / $518.84	Professional		$214.20	$273.70	$518.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $414.12 / $1,130.50 / $1,130.50	Facility		$414.12	$1,130.50	$1,130.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,190.00 / $1,190.00 / $1,785.00	Professional		$1,190.00	$1,190.00	$1,785.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $285.60 / $285.60 / $285.60	Professional		$285.60	$285.60	$285.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $157.50 / $285.60 / $683.93	Facility		$157.50	$285.60	$683.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $110.31 / $261.80 / $488.38	Professional		$110.31	$261.80	$488.38
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $835.38 / $835.38 / $835.38	Professional		$835.38	$835.38	$835.38
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $131.60 / $190.40 / $238.00	Professional		$131.60	$190.40	$238.00
United Facility/Professional Professional Modifier Low / Median / High Price $67.91 / $104.00 / $639.20	Professional		$67.91	$104.00	$639.20