Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $236.55 / $236.55 / $1,185.01	Facility		$236.55	$236.55	$1,185.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.25 / $236.55 / $1,185.01	Professional		$189.25	$236.55	$1,185.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $179.63 / $629.62 / $1,303.72	Facility		$179.63	$629.62	$1,303.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $460.31	Professional		$239.88	$239.88	$460.31
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $486.26 / $868.31	Facility		$97.00	$486.26	$868.31
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $544.94 / $1,269.34	Professional		$100.00	$544.94	$1,269.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.10 / $246.11 / $246.11	Facility		$192.10	$246.11	$246.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.66 / $179.66 / $262.36	Professional		$179.66	$179.66	$262.36
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $219.54 / $263.45 / $451.78	Professional		$219.54	$263.45	$451.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $246.43 / $287.50 / $636.60	Professional		$246.43	$287.50	$636.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $831.53 / $2,095.14 / $2,095.14	Facility		$831.53	$2,095.14	$2,095.14
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,498.81 / $2,498.81 / $3,160.05	Professional		$2,498.81	$2,498.81	$3,160.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $835.99 / $835.99 / $835.99	Professional		$835.99	$835.99	$835.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $126.85 / $363.11 / $431.25	Facility		$126.85	$363.11	$431.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $179.66 / $246.10 / $456.17	Professional		$179.66	$246.10	$456.17
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $775.20 / $775.20 / $775.20	Professional		$775.20	$775.20	$775.20
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $219.54 / $328.57 / $329.31	Professional		$219.54	$328.57	$329.31
United Facility/Professional Professional Modifier Low / Median / High Price $178.41 / $196.81 / $437.19	Professional		$178.41	$196.81	$437.19