Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $230.44 / $230.44 / $1,209.47	Facility		$230.44	$230.44	$1,209.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.16 / $230.44 / $1,209.47	Professional		$183.16	$230.44	$1,209.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $174.99 / $636.00 / $1,330.60	Facility		$174.99	$636.00	$1,330.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $209.52 / $233.68 / $399.44	Professional		$209.52	$233.68	$399.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $496.28 / $886.22	Facility		$97.00	$496.28	$886.22
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $556.19 / $1,295.58	Professional		$100.00	$556.19	$1,295.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $196.07 / $252.01 / $252.01	Facility		$196.07	$252.01	$252.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.97 / $183.97 / $268.64	Professional		$183.97	$183.97	$268.64
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $224.08 / $268.89 / $461.10	Professional		$224.08	$268.89	$461.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $251.51 / $293.43 / $638.07	Professional		$251.51	$293.43	$638.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $721.56 / $2,000.04 / $2,000.04	Facility		$721.56	$2,000.04	$2,000.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,162.37 / $2,162.37 / $3,143.85	Professional		$2,162.37	$2,162.37	$3,143.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $885.19 / $885.19 / $885.19	Professional		$885.19	$885.19	$885.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $123.57 / $367.06 / $431.80	Facility		$123.57	$367.06	$431.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $183.97 / $252.01 / $398.99	Professional		$183.97	$252.01	$398.99
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $791.20 / $791.20 / $791.20	Professional		$791.20	$791.20	$791.20
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $224.08 / $335.34 / $336.12	Professional		$224.08	$335.34	$336.12
United Facility/Professional Professional Modifier Low / Median / High Price $173.80 / $191.41 / $407.98	Professional		$173.80	$191.41	$407.98