Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $293.13 / $325.95 / $325.95	Facility		$293.13	$325.95	$325.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $278.48 / $340.68 / $542.74	Professional		$278.48	$340.68	$542.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $399.02 / $399.02 / $1,805.82	Facility		$399.02	$399.02	$1,805.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $301.04 / $407.67 / $756.02	Professional		$301.04	$407.67	$756.02
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $229.71 / $336.08 / $751.25	Professional		$229.71	$336.08	$751.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $395.08 / $395.08 / $395.08	Facility		$395.08	$395.08	$395.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.45 / $411.39 / $852.90	Professional		$316.45	$411.39	$852.90
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $256.00 / $394.90 / $533.12	Professional		$256.00	$394.90	$533.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $320.32 / $399.77 / $710.82	Professional		$320.32	$399.77	$710.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $802.24 / $1,577.39 / $1,726.29	Facility		$802.24	$1,577.39	$1,726.29
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,488.60 / $2,488.60 / $2,831.18	Professional		$2,488.60	$2,488.60	$2,831.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $325.95 / $428.53 / $603.94	Facility		$325.95	$428.53	$603.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $324.82 / $465.35 / $877.84	Professional		$324.82	$465.35	$877.84
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,037.54 / $1,037.54 / $1,037.54	Professional		$1,037.54	$1,037.54	$1,037.54
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $256.00 / $319.13 / $438.80	Professional		$256.00	$319.13	$438.80
United Facility/Professional Professional Modifier Low / Median / High Price $248.33 / $327.16 / $655.14	Professional		$248.33	$327.16	$655.14