Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.70 / $173.70 / $1,112.55	Facility		$173.70	$173.70	$1,112.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.13 / $173.70 / $1,112.55	Professional		$143.13	$173.70	$1,112.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.90 / $543.39 / $1,224.01	Facility		$131.90	$543.39	$1,224.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.61 / $175.87 / $358.61	Professional		$172.61	$175.87	$358.61
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $456.52 / $815.21	Facility		$97.00	$456.52	$815.21
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $511.63 / $1,191.75	Professional		$100.00	$511.63	$1,191.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $180.23 / $180.71 / $206.12	Facility		$180.23	$180.71	$206.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.91 / $131.91 / $192.64	Professional		$131.91	$131.91	$192.64
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $206.12 / $247.34 / $424.16	Professional		$206.12	$247.34	$424.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $231.36 / $269.92 / $597.67	Professional		$231.36	$269.92	$597.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $782.77 / $1,641.93 / $1,831.60	Facility		$782.77	$1,641.93	$1,831.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,898.90 / $2,968.47 / $2,968.47	Professional		$2,898.90	$2,968.47	$2,968.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $677.77 / $677.77 / $677.77	Professional		$677.77	$677.77	$677.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $93.15 / $330.62 / $403.47	Facility		$93.15	$330.62	$403.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $131.91 / $180.71 / $301.79	Professional		$131.91	$180.71	$301.79
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $727.80 / $727.80 / $727.80	Professional		$727.80	$727.80	$727.80
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $206.12 / $308.48 / $309.18	Professional		$206.12	$308.48	$309.18
United Facility/Professional Professional Modifier Low / Median / High Price $137.30 / $168.32 / $540.73	Professional		$137.30	$168.32	$540.73