Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.76 / $194.76 / $1,247.50	Facility		$194.76	$194.76	$1,247.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.83 / $194.76 / $1,247.50	Professional		$120.83	$194.76	$1,247.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.88 / $320.05 / $760.78	Facility		$147.88	$320.05	$760.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.45 / $197.68 / $230.89	Professional		$167.45	$197.68	$230.89
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $511.88 / $914.07	Facility		$97.00	$511.88	$914.07
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $467.36 / $1,092.91	Professional		$100.00	$467.36	$1,092.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $202.09 / $214.95 / $231.12	Facility		$202.09	$214.95	$231.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.91 / $156.91 / $229.14	Professional		$156.91	$156.91	$229.14
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $174.42 / $200.37 / $220.41	Professional		$174.42	$200.37	$220.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $140.26 / $237.04 / $524.88	Professional		$140.26	$237.04	$524.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $438.99 / $1,096.95 / $1,096.95	Facility		$438.99	$1,096.95	$1,096.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,674.36 / $1,717.79 / $1,717.79	Professional		$1,674.36	$1,717.79	$1,717.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $504.56 / $504.56 / $504.56	Professional		$504.56	$504.56	$504.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.44 / $200.37 / $346.68	Facility		$104.44	$200.37	$346.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $156.91 / $206.53 / $233.44	Professional		$156.91	$206.53	$233.44
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $816.08 / $816.08 / $816.08	Professional		$816.08	$816.08	$816.08
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $160.30 / $174.42 / $226.75	Professional		$160.30	$174.42	$226.75
United Facility/Professional Professional Modifier Low / Median / High Price $149.58 / $175.26 / $562.53	Professional		$149.58	$175.26	$562.53