Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $328.34 / $625.21 / $1,955.33	Facility		$328.34	$625.21	$1,955.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $328.34 / $331.62 / $706.20	Professional		$328.34	$331.62	$706.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $331.08 / $524.46 / $1,175.65	Facility		$331.08	$524.46	$1,175.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.92 / $328.34 / $714.45	Professional		$302.92	$328.34	$714.45
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.40 / $100.00 / $1,110.32	Facility		$77.40	$100.00	$1,110.32
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $292.66 / $292.66 / $774.91	Professional		$292.66	$292.66	$774.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.75 / $309.75 / $328.34	Facility		$309.75	$309.75	$328.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $328.34 / $328.34 / $464.63	Professional		$328.34	$328.34	$464.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $288.80 / $324.80 / $438.48	Professional		$288.80	$324.80	$438.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $295.51 / $394.01 / $837.27	Professional		$295.51	$394.01	$837.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,608.87 / $5,222.64 / $5,222.64	Facility		$1,608.87	$5,222.64	$5,222.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,027.78 / $6,027.78 / $6,027.78	Professional		$6,027.78	$6,027.78	$6,027.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $665.84 / $665.84	Professional		$60.00	$665.84	$665.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $309.75 / $344.76 / $783.26	Facility		$309.75	$344.76	$783.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $328.34 / $328.34 / $1,011.33	Professional		$328.34	$328.34	$1,011.33
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,859.27 / $1,859.27 / $1,859.27	Professional		$1,859.27	$1,859.27	$1,859.27
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $262.67 / $328.34 / $492.51	Professional		$262.67	$328.34	$492.51
United Facility/Professional Professional Modifier Low / Median / High Price $328.34 / $328.34 / $647.36	Professional		$328.34	$328.34	$647.36