Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.54 / $263.54 / $1,619.24	Facility		$263.54	$263.54	$1,619.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.91 / $263.54 / $1,619.24	Professional		$156.91	$263.54	$1,619.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $206.96 / $316.66 / $547.74	Facility		$206.96	$316.66	$547.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $214.67 / $266.83 / $288.19	Professional		$214.67	$266.83	$288.19
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $686.59 / $1,226.06	Facility		$97.00	$686.59	$1,226.06
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $427.32 / $1,418.59	Professional		$100.00	$427.32	$1,418.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $312.30 / $312.30 / $486.31	Facility		$312.30	$312.30	$486.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.98 / $227.98 / $321.67	Professional		$227.98	$227.98	$321.67
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $116.61 / $351.40 / $421.68	Professional		$116.61	$351.40	$421.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $90.70 / $299.38 / $650.07	Professional		$90.70	$299.38	$650.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $565.83 / $1,271.08 / $1,271.08	Facility		$565.83	$1,271.08	$1,271.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,156.94 / $2,214.14 / $2,214.14	Professional		$2,156.94	$2,214.14	$2,214.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $568.64 / $568.64 / $568.64	Professional		$568.64	$568.64	$568.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $94.35 / $129.57 / $312.30	Facility		$94.35	$129.57	$312.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $210.70 / $227.98 / $312.30	Professional		$210.70	$227.98	$312.30
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,059.27 / $1,059.27 / $1,059.27	Professional		$1,059.27	$1,059.27	$1,059.27
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $103.66 / $351.40 / $456.82	Professional		$103.66	$351.40	$456.82
United Facility/Professional Professional Modifier Low / Median / High Price $177.89 / $209.99 / $479.71	Professional		$177.89	$209.99	$479.71