Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $343.16 / $459.47 / $4,012.17	Facility		$343.16	$459.47	$4,012.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $261.60 / $379.76 / $2,156.48	Professional		$261.60	$379.76	$2,156.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $292.27 / $647.85 / $1,653.42	Facility		$292.27	$647.85	$1,653.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.62 / $564.64 / $1,337.02	Professional		$165.62	$564.64	$1,337.02
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $242.48 / $945.77	Facility		$92.60	$242.48	$945.77
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $207.87 / $296.95 / $887.60	Professional		$207.87	$296.95	$887.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $246.34 / $579.88 / $1,167.60	Facility		$246.34	$579.88	$1,167.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.40 / $274.27 / $1,203.56	Professional		$186.40	$274.27	$1,203.56
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $298.12 / $342.84 / $452.76	Professional		$298.12	$342.84	$452.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $301.83 / $385.69 / $731.13	Professional		$301.83	$385.69	$731.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $583.55 / $1,593.06 / $1,593.06	Facility		$583.55	$1,593.06	$1,593.06
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,676.90 / $1,676.90 / $2,515.35	Professional		$1,676.90	$1,676.90	$2,515.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $335.38 / $335.38 / $335.38	Professional		$335.38	$335.38	$335.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $311.74 / $435.99 / $1,015.88	Facility		$311.74	$435.99	$1,015.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $222.82 / $394.53 / $919.19	Professional		$222.82	$394.53	$919.19
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,177.18 / $1,177.18 / $1,177.18	Professional		$1,177.18	$1,177.18	$1,177.18
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $268.30 / $333.89 / $506.80	Professional		$268.30	$333.89	$506.80
United Facility/Professional Professional Modifier Low / Median / High Price $140.86 / $192.17 / $671.52	Professional		$140.86	$192.17	$671.52