Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.63 / $738.19 / $1,332.59	Facility		$153.63	$738.19	$1,332.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.44 / $631.55 / $1,252.28	Professional		$130.44	$631.55	$1,252.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $205.83 / $249.03 / $780.00	Facility		$205.83	$249.03	$780.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $214.61 / $548.57 / $1,700.49	Professional		$214.61	$548.57	$1,700.49
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.47 / $104.34 / $458.07	Facility		$59.47	$104.34	$458.07
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $174.45 / $421.07 / $970.75	Professional		$174.45	$421.07	$970.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $216.13 / $216.13 / $526.80	Facility		$216.13	$216.13	$526.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.07 / $423.18 / $1,831.58	Professional		$144.07	$423.18	$1,831.58
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $158.47 / $211.02 / $1,242.48	Professional		$158.47	$211.02	$1,242.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $136.79 / $675.82 / $1,384.50	Professional		$136.79	$675.82	$1,384.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,195.56 / $1,195.56 / $1,195.56	Facility		$1,195.56	$1,195.56	$1,195.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,681.38 / $5,036.20 / $6,024.98	Professional		$2,681.38	$5,036.20	$6,024.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $605.69	Professional		$32.34	$32.34	$605.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $134.06 / $240.82 / $1,159.63	Facility		$134.06	$240.82	$1,159.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $148.94 / $480.89 / $1,929.08	Professional		$148.94	$480.89	$1,929.08
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $391.87 / $391.87 / $2,996.93	Professional		$391.87	$391.87	$2,996.93
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $128.07 / $316.52 / $1,063.00	Professional		$128.07	$316.52	$1,063.00
United Facility/Professional Professional Modifier Low / Median / High Price $469.33 / $828.40 / $2,034.02	Professional		$469.33	$828.40	$2,034.02