Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.27 / $809.04 / $2,886.12	Facility		$246.27	$809.04	$2,886.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.43 / $279.11 / $2,601.06	Professional		$213.43	$279.11	$2,601.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $312.00 / $781.41 / $1,994.28	Facility		$312.00	$781.41	$1,994.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.81 / $249.16 / $610.12	Professional		$161.81	$249.16	$610.12
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $292.47 / $1,140.75	Facility		$92.60	$292.47	$1,140.75
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $149.18 / $213.12 / $640.41	Professional		$149.18	$213.12	$640.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $260.31 / $699.42 / $1,354.14	Facility		$260.31	$699.42	$1,354.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.13 / $268.73 / $1,176.34	Professional		$178.13	$268.73	$1,176.34
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $262.02 / $404.52 / $546.10	Professional		$262.02	$404.52	$546.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $364.07 / $465.20 / $889.94	Professional		$364.07	$465.20	$889.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $703.86 / $1,921.47 / $1,921.47	Facility		$703.86	$1,921.47	$1,921.47
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,022.60 / $2,022.60 / $3,033.90	Professional		$2,022.60	$2,022.60	$3,033.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $404.52 / $404.52 / $404.52	Professional		$404.52	$404.52	$404.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $287.29 / $485.42 / $1,162.46	Facility		$287.29	$485.42	$1,162.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $215.42 / $465.20 / $830.77	Professional		$215.42	$465.20	$830.77
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,419.86 / $1,419.86 / $1,419.86	Professional		$1,419.86	$1,419.86	$1,419.86
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $267.27 / $340.64 / $445.45	Professional		$267.27	$340.64	$445.45
United Facility/Professional Professional Modifier Low / Median / High Price $137.91 / $169.90 / $974.04	Professional		$137.91	$169.90	$974.04