Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $224.20 / $224.20 / $1,176.75	Facility		$224.20	$224.20	$1,176.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.21 / $224.20 / $1,176.75	Professional		$178.21	$224.20	$1,176.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $170.25 / $618.77 / $1,294.64	Facility		$170.25	$618.77	$1,294.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $203.85 / $224.90 / $388.61	Professional		$203.85	$224.90	$388.61
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $482.87 / $862.26	Facility		$97.00	$482.87	$862.26
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $541.15 / $1,260.52	Professional		$100.00	$541.15	$1,260.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.39 / $233.26 / $280.66	Facility		$204.39	$233.26	$280.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.28 / $170.28 / $484.50	Professional		$170.28	$170.28	$484.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $218.02 / $261.62 / $448.64	Professional		$218.02	$261.62	$448.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $244.71 / $285.50 / $632.16	Professional		$244.71	$285.50	$632.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $702.00 / $1,945.90 / $1,945.90	Facility		$702.00	$1,945.90	$1,945.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,103.75 / $2,103.75 / $3,058.88	Professional		$2,103.75	$2,103.75	$3,058.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $861.20 / $861.20 / $861.20	Professional		$861.20	$861.20	$861.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $357.13 / $420.10	Facility		$120.23	$357.13	$420.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $170.28 / $170.28 / $398.29	Professional		$170.28	$170.28	$398.29
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $769.80 / $769.80 / $769.80	Professional		$769.80	$769.80	$769.80
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $218.02 / $326.27 / $327.02	Professional		$218.02	$326.27	$327.02
United Facility/Professional Professional Modifier Low / Median / High Price $172.19 / $189.50 / $431.44	Professional		$172.19	$189.50	$431.44