Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $280.08 / $954.23 / $2,145.41	Facility		$280.08	$954.23	$2,145.41
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 / $371.28 / $879.17	Professional		$131.80	$371.28	$879.17
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.30 / $434.95 / $2,955.70	Facility		$59.30	$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 $227.34 / $565.44 / $1,103.03	Facility		$227.34	$565.44	$1,103.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.40 / $314.85 / $1,340.87	Professional		$175.40	$314.85	$1,340.87
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 $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $263.61 / $395.41 / $945.18	Facility		$263.61	$395.41	$945.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $177.16 / $378.94 / $957.62	Professional		$177.16	$378.94	$957.62
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 / $148.84 / $793.43	Professional		$138.38	$148.84	$793.43