Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.46 / $213.46 / $1,367.28	Facility		$213.46	$213.46	$1,367.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.49 / $213.46 / $1,367.28	Professional		$186.49	$213.46	$1,367.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.10 / $667.81 / $1,504.27	Facility		$162.10	$667.81	$1,504.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.93 / $216.46 / $350.65	Professional		$183.93	$216.46	$350.65
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $561.04 / $1,001.85	Facility		$97.00	$561.04	$1,001.85
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $628.76 / $1,464.62	Professional		$100.00	$628.76	$1,464.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $221.49 / $243.89 / $253.30	Facility		$221.49	$243.89	$253.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.04 / $178.04 / $437.25	Professional		$178.04	$178.04	$437.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $158.01 / $189.61 / $521.28	Professional		$158.01	$189.61	$521.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $284.33 / $331.72 / $720.31	Professional		$284.33	$331.72	$720.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $718.41 / $2,250.98 / $2,250.98	Facility		$718.41	$2,250.98	$2,250.98
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,274.67 / $2,325.73 / $2,665.58	Professional		$2,274.67	$2,325.73	$2,665.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $849.60 / $849.60 / $849.60	Professional		$849.60	$849.60	$849.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $114.47 / $402.81 / $473.89	Facility		$114.47	$402.81	$473.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $178.04 / $178.04 / $402.81	Professional		$178.04	$178.04	$402.81
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $894.44 / $894.44 / $894.44	Professional		$894.44	$894.44	$894.44
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $158.01 / $268.62 / $379.11	Professional		$158.01	$268.62	$379.11
United Facility/Professional Professional Modifier Low / Median / High Price $161.00 / $177.31 / $461.21	Professional		$161.00	$177.31	$461.21