Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $238.46 / $358.39 / $1,245.24	Facility		$238.46	$358.39	$1,245.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.10 / $238.46 / $425.97	Professional		$210.10	$238.46	$425.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $198.03 / $380.89 / $853.83	Facility		$198.03	$380.89	$853.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.64 / $219.41 / $399.84	Professional		$173.64	$219.41	$399.84
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.70 / $100.00 / $855.00	Facility		$77.70	$100.00	$855.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $242.96 / $242.96 / $643.30	Professional		$242.96	$242.96	$643.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $224.96 / $224.96 / $238.46	Facility		$224.96	$224.96	$238.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.46 / $238.46 / $306.38	Professional		$238.46	$238.46	$306.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $145.60 / $255.32 / $344.68	Professional		$145.60	$255.32	$344.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $214.61 / $286.14 / $636.69	Professional		$214.61	$286.14	$636.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,168.45 / $10,081.35 / $10,081.35	Facility		$1,168.45	$10,081.35	$10,081.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16,586.83 / $16,586.83 / $16,586.83	Professional		$16,586.83	$16,586.83	$16,586.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $523.40 / $523.40	Professional		$60.00	$523.40	$523.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $197.00 / $238.46 / $413.59	Facility		$197.00	$238.46	$413.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $238.46 / $238.46 / $512.13	Professional		$238.46	$238.46	$512.13
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,588.96 / $3,588.96 / $3,588.96	Professional		$3,588.96	$3,588.96	$3,588.96
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $190.76 / $238.46 / $357.68	Professional		$190.76	$238.46	$357.68
United Facility/Professional Professional Modifier Low / Median / High Price $238.46 / $252.77 / $530.10	Professional		$238.46	$252.77	$530.10