Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $392.00 / $2,128.33	Facility		$85.00	$392.00	$2,128.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $2,128.33	Professional		$85.00	$85.00	$2,128.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $288.47 / $639.39 / $1,631.83	Facility		$288.47	$639.39	$1,631.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.62 / $85.99 / $410.44	Professional		$65.62	$85.99	$410.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $239.31 / $933.42	Facility		$92.60	$239.31	$933.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $83.87 / $119.81 / $226.61	Professional		$83.87	$119.81	$226.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.00 / $572.29 / $1,108.02	Facility		$213.00	$572.29	$1,108.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.10 / $220.04 / $757.63	Professional		$100.10	$220.04	$757.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $75.15 / $331.00 / $446.85	Professional		$75.15	$331.00	$446.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $297.89 / $380.65 / $721.58	Professional		$297.89	$380.65	$721.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $575.94 / $1,572.25 / $1,572.25	Facility		$575.94	$1,572.25	$1,572.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,655.00 / $1,655.00 / $2,482.50	Professional		$1,655.00	$1,655.00	$2,482.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $331.00 / $331.00 / $331.00	Professional		$331.00	$331.00	$331.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $137.18 / $397.20 / $951.18	Facility		$137.18	$397.20	$951.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $151.41 / $364.10 / $679.59	Professional		$151.41	$364.10	$679.59
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,161.81 / $1,161.81 / $1,161.81	Professional		$1,161.81	$1,161.81	$1,161.81
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $76.65 / $127.76 / $331.00	Professional		$76.65	$127.76	$331.00
United Facility/Professional Professional Modifier Low / Median / High Price $77.54 / $144.63 / $1,024.88	Professional		$77.54	$144.63	$1,024.88