Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.39 / $869.08 / $2,113.32	Facility		$269.39	$869.08	$2,113.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.75 / $259.66 / $1,206.14	Professional		$194.75	$259.66	$1,206.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $282.87 / $626.99 / $1,600.18	Facility		$282.87	$626.99	$1,600.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.83 / $365.73 / $866.02	Professional		$129.83	$365.73	$866.02
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $428.45 / $2,911.48	Facility		$59.40	$428.45	$2,911.48
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $147.69 / $210.98 / $530.38	Professional		$147.69	$210.98	$530.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.94 / $556.99 / $1,086.55	Facility		$223.94	$556.99	$1,086.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.80 / $279.32 / $1,321.82	Professional		$172.80	$279.32	$1,321.82
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $259.66 / $324.58 / $438.18	Professional		$259.66	$324.58	$438.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $292.12 / $373.27 / $714.08	Professional		$292.12	$373.27	$714.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $564.77 / $1,541.76 / $1,541.76	Facility		$564.77	$1,541.76	$1,541.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,622.90 / $1,622.90 / $2,434.35	Professional		$1,622.90	$1,622.90	$2,434.35
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 $259.66 / $389.50 / $931.05	Facility		$259.66	$389.50	$931.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $174.64 / $373.27 / $879.01	Professional		$174.64	$373.27	$879.01
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,139.27 / $1,139.27 / $1,139.27	Professional		$1,139.27	$1,139.27	$1,139.27
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $259.66 / $292.12 / $441.42	Professional		$259.66	$292.12	$441.42
United Facility/Professional Professional Modifier Low / Median / High Price $136.32 / $147.68 / $871.72	Professional		$136.32	$147.68	$871.72