Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $353.58 / $744.88 / $4,134.01	Facility		$353.58	$744.88	$4,134.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.54 / $391.30 / $2,222.02	Professional		$269.54	$391.30	$2,222.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $296.33 / $667.54 / $1,703.66	Facility		$296.33	$667.54	$1,703.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.65 / $684.66 / $1,547.93	Professional		$170.65	$684.66	$1,547.93
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $249.85 / $974.51	Facility		$92.60	$249.85	$974.51
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $214.18 / $305.97 / $914.56	Professional		$214.18	$305.97	$914.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $253.82 / $597.49 / $1,203.06	Facility		$253.82	$597.49	$1,203.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.00 / $282.62 / $1,240.19	Professional		$192.00	$282.62	$1,240.19
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $307.17 / $353.25 / $466.52	Professional		$307.17	$353.25	$466.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $311.01 / $397.41 / $760.25	Professional		$311.01	$397.41	$760.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $601.29 / $1,641.46 / $1,641.46	Facility		$601.29	$1,641.46	$1,641.46
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,727.85 / $1,727.85 / $2,591.78	Professional		$1,727.85	$1,727.85	$2,591.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $345.57 / $345.57 / $345.57	Professional		$345.57	$345.57	$345.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $321.20 / $449.24 / $1,046.73	Facility		$321.20	$449.24	$1,046.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $229.55 / $406.48 / $947.64	Professional		$229.55	$406.48	$947.64
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,212.95 / $1,212.95 / $1,212.95	Professional		$1,212.95	$1,212.95	$1,212.95
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $276.45 / $344.03 / $522.19	Professional		$276.45	$344.03	$522.19
United Facility/Professional Professional Modifier Low / Median / High Price $145.13 / $198.00 / $691.90	Professional		$145.13	$198.00	$691.90