Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $376.48 / $478.53 / $2,595.08	Facility		$376.48	$478.53	$2,595.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $322.87 / $478.53 / $2,595.08	Professional		$322.87	$478.53	$2,595.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $312.00 / $779.61 / $1,989.70	Facility		$312.00	$779.61	$1,989.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.44 / $538.07 / $1,274.11	Professional		$161.44	$538.07	$1,274.11
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $291.80 / $1,138.11	Facility		$92.60	$291.80	$1,138.11
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $136.91 / $195.59 / $587.75	Professional		$136.91	$195.59	$587.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $259.70 / $697.80 / $1,351.00	Facility		$259.70	$697.80	$1,351.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.41 / $268.27 / $1,173.21	Professional		$163.41	$268.27	$1,173.21
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $240.49 / $403.59 / $544.85	Professional		$240.49	$403.59	$544.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $363.23 / $464.13 / $879.83	Professional		$363.23	$464.13	$879.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $702.25 / $1,917.05 / $1,917.05	Facility		$702.25	$1,917.05	$1,917.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,017.95 / $2,017.95 / $3,026.93	Professional		$2,017.95	$2,017.95	$3,026.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $403.59 / $403.59 / $403.59	Professional		$403.59	$403.59	$403.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $300.91 / $519.41 / $1,159.76	Facility		$300.91	$519.41	$1,159.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $205.52 / $443.95 / $828.55	Professional		$205.52	$443.95	$828.55
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,416.60 / $1,416.60 / $1,416.60	Professional		$1,416.60	$1,416.60	$1,416.60
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $245.30 / $322.87 / $408.83	Professional		$245.30	$322.87	$408.83
United Facility/Professional Professional Modifier Low / Median / High Price $126.57 / $169.51 / $801.85	Professional		$126.57	$169.51	$801.85