Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.18 / $182.18 / $1,166.89	Facility		$182.18	$182.18	$1,166.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.13 / $182.18 / $1,166.89	Professional		$150.13	$182.18	$1,166.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.34 / $569.91 / $1,283.78	Facility		$138.34	$569.91	$1,283.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.97 / $181.32 / $282.10	Professional		$147.97	$181.32	$282.10
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $478.82 / $855.03	Facility		$97.00	$478.82	$855.03
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $536.62 / $1,249.95	Professional		$100.00	$536.62	$1,249.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $189.04 / $196.21 / $216.18	Facility		$189.04	$196.21	$216.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.22 / $143.22 / $202.10	Professional		$143.22	$143.22	$202.10
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $216.18 / $259.42 / $444.87	Professional		$216.18	$259.42	$444.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $242.66 / $283.10 / $626.87	Professional		$242.66	$283.10	$626.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $677.89 / $1,921.04 / $1,921.04	Facility		$677.89	$1,921.04	$1,921.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,590.42 / $2,652.62 / $3,033.23	Professional		$2,590.42	$2,652.62	$3,033.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,214.50 / $1,214.50 / $1,214.50	Professional		$1,214.50	$1,214.50	$1,214.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.69 / $349.52 / $410.31	Facility		$97.69	$349.52	$410.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $143.22 / $196.21 / $359.96	Professional		$143.22	$196.21	$359.96
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $763.35 / $763.35 / $763.35	Professional		$763.35	$763.35	$763.35
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $216.18 / $323.54 / $324.27	Professional		$216.18	$323.54	$324.27
United Facility/Professional Professional Modifier Low / Median / High Price $144.00 / $177.73 / $567.14	Professional		$144.00	$177.73	$567.14