Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.13 / $412.80 / $3,463.95	Facility		$227.13	$412.80	$3,463.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.13 / $227.13 / $2,241.23	Professional		$227.13	$227.13	$2,241.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $298.89 / $673.31 / $1,718.40	Facility		$298.89	$673.31	$1,718.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.99 / $249.21 / $610.24	Professional		$142.99	$249.21	$610.24
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $252.01 / $982.94	Facility		$92.60	$252.01	$982.94
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $179.47 / $256.39 / $621.05	Professional		$179.47	$256.39	$621.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $256.01 / $602.65 / $1,166.78	Facility		$256.01	$602.65	$1,166.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.51 / $254.12 / $1,039.25	Professional		$186.51	$254.12	$1,039.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $256.67 / $348.56 / $470.56	Professional		$256.67	$348.56	$470.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $313.70 / $400.84 / $759.86	Professional		$313.70	$400.84	$759.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $606.49 / $1,655.66 / $1,655.66	Facility		$606.49	$1,655.66	$1,655.66
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,742.80 / $1,742.80 / $2,614.19	Professional		$1,742.80	$1,742.80	$2,614.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $418.28 / $418.28 / $418.28	Professional		$418.28	$418.28	$418.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $276.50 / $418.27 / $1,001.62	Facility		$276.50	$418.27	$1,001.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $214.34 / $400.84 / $887.92	Professional		$214.34	$400.84	$887.92
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,223.44 / $1,223.44 / $1,223.44	Professional		$1,223.44	$1,223.44	$1,223.44
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $261.80 / $313.70 / $436.34	Professional		$261.80	$313.70	$436.34
United Facility/Professional Professional Modifier Low / Median / High Price $146.40 / $165.92 / $839.30	Professional		$146.40	$165.92	$839.30