Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.42 / $1,037.35 / $2,362.54	Facility		$251.42	$1,037.35	$2,362.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.47 / $245.51 / $1,901.93	Professional		$177.47	$245.51	$1,901.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $260.00 / $590.10 / $1,458.24	Facility		$260.00	$590.10	$1,458.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.32 / $347.71 / $823.35	Professional		$118.32	$347.71	$823.35
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $390.44 / $2,653.24	Facility		$59.40	$390.44	$2,653.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $121.21 / $173.16 / $435.31	Professional		$121.21	$173.16	$435.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $216.08 / $511.41 / $990.14	Facility		$216.08	$511.41	$990.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.56 / $245.11 / $903.86	Professional		$157.56	$245.11	$903.86
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $236.63 / $295.79 / $399.32	Professional		$236.63	$295.79	$399.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $266.20 / $340.16 / $650.74	Professional		$266.20	$340.16	$650.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $514.66 / $1,405.00 / $1,405.00	Facility		$514.66	$1,405.00	$1,405.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,478.95 / $1,478.95 / $2,218.42	Professional		$1,478.95	$1,478.95	$2,218.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $207.05 / $207.05 / $207.05	Professional		$207.05	$207.05	$207.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $240.33 / $354.95 / $849.98	Facility		$240.33	$354.95	$849.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $160.69 / $332.22 / $801.05	Professional		$160.69	$332.22	$801.05
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,038.22 / $1,038.22 / $1,038.22	Professional		$1,038.22	$1,038.22	$1,038.22
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $236.63 / $266.20 / $402.27	Professional		$236.63	$266.20	$402.27
United Facility/Professional Professional Modifier Low / Median / High Price $124.23 / $124.23 / $587.67	Professional		$124.23	$124.23	$587.67