Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $258.64 / $517.28 / $2,585.17	Facility		$258.64	$517.28	$2,585.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $258.64 / $261.23 / $459.23	Professional		$258.64	$261.23	$459.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $274.39 / $413.13 / $1,013.45	Facility		$274.39	$413.13	$1,013.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.25 / $268.27 / $457.27	Professional		$229.25	$268.27	$457.27
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.70 / $100.00 / $292.80	Facility		$77.70	$100.00	$292.80
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $263.52 / $263.52 / $531.67	Professional		$263.52	$263.52	$531.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $244.00 / $258.64	Facility		$244.00	$244.00	$258.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $258.64 / $258.64 / $280.60	Professional		$258.64	$258.64	$280.60
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $248.93 / $273.82 / $336.06	Professional		$248.93	$273.82	$336.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $232.78 / $310.37 / $544.00	Professional		$232.78	$310.37	$544.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $331.12 / $1,244.65 / $1,293.20	Facility		$331.12	$1,244.65	$1,293.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,942.60 / $6,942.60 / $6,942.60	Professional		$6,942.60	$6,942.60	$6,942.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $510.30 / $510.30	Professional		$60.00	$510.30	$510.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $258.64 / $261.23 / $423.29	Facility		$258.64	$261.23	$423.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $258.64 / $258.64 / $310.95	Professional		$258.64	$258.64	$310.95
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $312.00 / $312.00 / $312.00	Professional		$312.00	$312.00	$312.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $206.91 / $258.64 / $387.96	Professional		$206.91	$258.64	$387.96
United Facility/Professional Professional Modifier Low / Median / High Price $258.64 / $258.64 / $413.82	Professional		$258.64	$258.64	$413.82