Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $1,000.00 / $1,819.70	Facility		$407.38	$1,000.00	$1,819.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $234.42 / $1,819.70	Professional		$181.97	$234.42	$1,819.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $645.65 / $1,380.38	Facility		$162.18	$645.65	$1,380.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $165.96 / $562.34	Professional		$138.04	$165.96	$562.34
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $645.65 / $2,630.27	Facility		$69.18	$645.65	$2,630.27
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $213.80 / $549.54	Professional		$162.18	$213.80	$549.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $467.74 / $1,000.00	Facility		$186.21	$467.74	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $295.12 / $1,348.96	Professional		$151.36	$295.12	$1,348.96
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $275.42 / $371.54	Professional		$218.78	$275.42	$371.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $302.00 / $478.63	Professional		$245.47	$302.00	$478.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Facility		$1,318.26	$1,318.26	$1,318.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,041.74 / $2,041.74	Professional		$1,380.38	$2,041.74	$2,041.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $331.13 / $724.44	Facility		$218.78	$331.13	$724.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $302.00 / $794.33	Professional		$162.18	$302.00	$794.33
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Professional		$954.99	$954.99	$954.99
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $275.42 / $3,311.31	Professional		$218.78	$275.42	$3,311.31
United Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $275.42 / $275.42	Facility		$114.82	$275.42	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $524.81	Professional		$114.82	$114.82	$524.81