Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $248.33 / $248.33 / $1,590.58	Facility		$248.33	$248.33	$1,590.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.59 / $248.33 / $1,590.58	Professional		$200.59	$248.33	$1,590.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $188.57 / $776.88 / $1,749.96	Facility		$188.57	$776.88	$1,749.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $237.33 / $242.12 / $452.43	Professional		$237.33	$242.12	$452.43
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $652.67 / $1,165.51	Facility		$97.00	$652.67	$1,165.51
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $731.46 / $1,703.82	Professional		$100.00	$731.46	$1,703.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.85 / $273.20 / $294.69	Facility		$257.85	$273.20	$294.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.44 / $199.44 / $291.25	Professional		$199.44	$199.44	$291.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $235.66 / $282.79 / $606.41	Professional		$235.66	$282.79	$606.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $330.77 / $385.90 / $837.96	Professional		$330.77	$385.90	$837.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $987.55 / $2,218.98 / $2,618.63	Facility		$987.55	$2,218.98	$2,618.63
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,204.05 / $3,280.95 / $3,480.83	Professional		$3,204.05	$3,280.95	$3,480.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $886.07 / $886.07 / $886.07	Professional		$886.07	$886.07	$886.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $133.16 / $463.03 / $559.30	Facility		$133.16	$463.03	$559.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $199.44 / $273.20 / $503.31	Professional		$199.44	$273.20	$503.31
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,040.52 / $1,040.52 / $1,040.52	Professional		$1,040.52	$1,040.52	$1,040.52
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $235.66 / $400.62 / $441.03	Professional		$235.66	$400.62	$441.03
United Facility/Professional Professional Modifier Low / Median / High Price $190.72 / $209.89 / $574.70	Professional		$190.72	$209.89	$574.70