Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $256.08 / $512.17 / $1,318.86	Facility		$256.08	$512.17	$1,318.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $256.08 / $258.64 / $518.21	Professional		$256.08	$258.64	$518.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $271.33 / $409.05 / $916.96	Facility		$271.33	$409.05	$916.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $255.09 / $264.72 / $549.35	Professional		$255.09	$264.72	$549.35
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $100.00 / $293.66	Facility		$77.09	$100.00	$293.66
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $260.92 / $260.92 / $587.45	Professional		$260.92	$260.92	$587.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $241.59 / $241.59 / $256.08	Facility		$241.59	$241.59	$256.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $256.08 / $256.08 / $299.45	Professional		$256.08	$256.08	$299.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $248.41 / $249.02 / $335.35	Professional		$248.41	$249.02	$335.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $230.48 / $307.31 / $512.17	Professional		$230.48	$307.31	$512.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $331.24 / $1,245.09 / $1,280.45	Facility		$331.24	$1,245.09	$1,280.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.76 / $1,096.76 / $1,096.76	Professional		$1,096.76	$1,096.76	$1,096.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $509.24 / $509.24 / $509.24	Professional		$509.24	$509.24	$509.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $256.08 / $263.77 / $430.77	Facility		$256.08	$263.77	$430.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $256.08 / $256.08 / $310.51	Professional		$256.08	$256.08	$310.51
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $352.07 / $352.07 / $352.07	Professional		$352.07	$352.07	$352.07
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $204.87 / $256.08 / $384.13	Professional		$204.87	$256.08	$384.13
United Facility/Professional Professional Modifier Low / Median / High Price $256.08 / $256.08 / $459.81	Professional		$256.08	$256.08	$459.81