Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $356.93 / $708.95 / $1,838.19	Facility		$356.93	$708.95	$1,838.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $356.93 / $360.50 / $708.95	Professional		$356.93	$360.50	$708.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $370.81 / $570.12 / $1,278.02	Facility		$370.81	$570.12	$1,278.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $348.62 / $361.77 / $781.07	Professional		$348.62	$361.77	$781.07
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.40 / $100.00 / $486.10	Facility		$77.40	$100.00	$486.10
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $363.66 / $363.66 / $810.31	Professional		$363.66	$363.66	$810.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $336.73 / $336.73 / $356.93	Facility		$336.73	$336.73	$356.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $356.93 / $356.93 / $405.08	Professional		$356.93	$356.93	$405.08
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $338.53 / $338.89 / $457.50	Professional		$338.53	$338.89	$457.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $321.24 / $428.32 / $696.01	Professional		$321.24	$428.32	$696.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $450.31 / $1,692.65 / $1,784.65	Facility		$450.31	$1,692.65	$1,784.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,496.24 / $1,496.24 / $1,496.24	Professional		$1,496.24	$1,496.24	$1,496.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $694.72 / $694.72 / $694.72	Professional		$694.72	$694.72	$694.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $356.93 / $370.95 / $607.52	Facility		$356.93	$370.95	$607.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $356.93 / $356.93 / $423.79	Professional		$356.93	$356.93	$423.79
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $481.64 / $481.64 / $481.64	Professional		$481.64	$481.64	$481.64
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $285.54 / $356.93 / $535.40	Professional		$285.54	$356.93	$535.40
United Facility/Professional Professional Modifier Low / Median / High Price $356.93 / $356.93 / $637.20	Professional		$356.93	$356.93	$637.20