Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $1,047.13 / $1,737.80	Facility		$323.59	$1,047.13	$1,737.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $218.78 / $1,737.80	Professional		$169.82	$218.78	$1,737.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $602.56 / $1,318.26	Facility		$120.23	$602.56	$1,318.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $114.82 / $660.69	Professional		$104.71	$114.82	$660.69
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $194.98 / $512.86	Professional		$151.36	$194.98	$512.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $302.00 / $870.96	Facility		$173.78	$302.00	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $281.84 / $512.86	Professional		$138.04	$281.84	$512.86
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $288.40 / $354.81	Professional		$263.03	$288.40	$354.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $275.42 / $457.09	Professional		$208.93	$275.42	$457.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Facility		$1,230.27	$1,230.27	$1,230.27
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,949.84 / $1,949.84	Professional		$1,288.25	$1,949.84	$1,949.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $263.03 / $263.03	Professional		$128.82	$263.03	$263.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $263.03 / $575.44	Facility		$190.55	$263.03	$575.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $275.42 / $524.81	Professional		$138.04	$275.42	$524.81
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Professional		$912.01	$912.01	$912.01
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $295.12 / $3,890.45	Professional		$208.93	$295.12	$3,890.45
United Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $144.54 / $263.03	Facility		$117.49	$144.54	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $436.52	Professional		$109.65	$109.65	$436.52