Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $233.74 / $233.74 / $1,176.75	Facility		$233.74	$233.74	$1,176.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.24 / $233.74 / $1,176.75	Professional		$141.24	$233.74	$1,176.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $184.54 / $282.24 / $488.39	Facility		$184.54	$282.24	$488.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $196.24 / $239.42 / $268.80	Professional		$196.24	$239.42	$268.80
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $498.98 / $891.03	Facility		$97.00	$498.98	$891.03
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $335.20 / $1,030.92	Professional		$100.00	$335.20	$1,030.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $278.10 / $278.10 / $324.01	Facility		$278.10	$278.10	$324.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.01 / $203.01 / $286.44	Professional		$203.01	$203.01	$286.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $103.98 / $255.37 / $306.44	Professional		$103.98	$255.37	$306.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $80.87 / $234.55 / $519.36	Professional		$80.87	$234.55	$519.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $451.98 / $1,140.66 / $1,140.66	Facility		$451.98	$1,140.66	$1,140.66
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.25 / $1,743.30 / $1,743.30	Professional		$1,737.25	$1,743.30	$1,743.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $507.04 / $507.04 / $507.04	Professional		$507.04	$507.04	$507.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $84.12 / $115.53 / $278.10	Facility		$84.12	$115.53	$278.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $173.40 / $203.01 / $278.10	Professional		$173.40	$203.01	$278.10
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 $92.42 / $255.37 / $331.98	Professional		$92.42	$255.37	$331.98
United Facility/Professional Professional Modifier Low / Median / High Price $146.09 / $186.23 / $368.28	Professional		$146.09	$186.23	$368.28