Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $280.08 / $1,155.60 / $2,631.79	Facility		$280.08	$1,155.60	$2,631.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $214.18 / $280.08 / $2,118.75	Professional		$214.18	$280.08	$2,118.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $287.17 / $636.51 / $1,624.48	Facility		$287.17	$636.51	$1,624.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.80 / $387.35 / $917.22	Professional		$131.80	$387.35	$917.22
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $434.95 / $2,955.70	Facility		$59.40	$434.95	$2,955.70
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $149.93 / $214.18 / $538.42	Professional		$149.93	$214.18	$538.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $240.71 / $569.72 / $1,103.03	Facility		$240.71	$569.72	$1,103.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.40 / $273.01 / $1,006.72	Professional		$175.40	$273.01	$1,006.72
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $263.60 / $329.51 / $444.84	Professional		$263.60	$329.51	$444.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $296.56 / $378.94 / $724.92	Professional		$296.56	$378.94	$724.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $573.35 / $1,565.17 / $1,565.17	Facility		$573.35	$1,565.17	$1,565.17
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,647.55 / $1,647.55 / $2,471.33	Professional		$1,647.55	$1,647.55	$2,471.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $230.65 / $230.65 / $230.65	Professional		$230.65	$230.65	$230.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $267.73 / $395.41 / $946.89	Facility		$267.73	$395.41	$946.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $179.10 / $378.94 / $891.68	Professional		$179.10	$378.94	$891.68
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,156.58 / $1,156.58 / $1,156.58	Professional		$1,156.58	$1,156.58	$1,156.58
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $263.61 / $296.56 / $448.12	Professional		$263.61	$296.56	$448.12
United Facility/Professional Professional Modifier Low / Median / High Price $138.38 / $143.99 / $632.99	Professional		$138.38	$143.99	$632.99