Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $243.38 / $243.38 / $1,558.86	Facility		$243.38	$243.38	$1,558.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.93 / $243.38 / $1,558.86	Professional		$200.93	$243.38	$1,558.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $184.82 / $761.38 / $1,715.04	Facility		$184.82	$761.38	$1,715.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $219.35 / $246.42 / $418.17	Professional		$219.35	$246.42	$418.17
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $639.65 / $1,142.24	Facility		$97.00	$639.65	$1,142.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $716.86 / $1,669.84	Professional		$100.00	$716.86	$1,669.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $252.70 / $253.20 / $288.80	Facility		$252.70	$253.20	$288.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.84 / $184.84 / $260.80	Professional		$184.84	$184.84	$260.80
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $173.82 / $208.58 / $594.32	Professional		$173.82	$208.58	$594.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $324.17 / $378.20 / $821.24	Professional		$324.17	$378.20	$821.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $844.05 / $2,566.38 / $2,566.38	Facility		$844.05	$2,566.38	$2,566.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,668.05 / $2,732.09 / $3,224.70	Professional		$2,668.05	$2,732.09	$3,224.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $887.54 / $887.54 / $887.54	Professional		$887.54	$887.54	$887.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $130.51 / $444.62 / $540.29	Facility		$130.51	$444.62	$540.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $184.84 / $253.20 / $444.62	Professional		$184.84	$253.20	$444.62
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,019.77 / $1,019.77 / $1,019.77	Professional		$1,019.77	$1,019.77	$1,019.77
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $173.82 / $295.49 / $432.23	Professional		$173.82	$295.49	$432.23
United Facility/Professional Professional Modifier Low / Median / High Price $183.55 / $202.49 / $490.93	Professional		$183.55	$202.49	$490.93