Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.97 / $158.97 / $1,018.31	Facility		$158.97	$158.97	$1,018.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.85 / $158.97 / $1,018.31	Professional		$123.85	$158.97	$1,018.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.73 / $497.35 / $1,120.31	Facility		$120.73	$497.35	$1,120.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.97 / $156.19 / $268.72	Professional		$140.97	$156.19	$268.72
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $417.85 / $746.16	Facility		$97.00	$417.85	$746.16
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $468.29 / $1,090.81	Professional		$100.00	$468.29	$1,090.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $164.96 / $165.40 / $188.66	Facility		$164.96	$165.40	$188.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.74 / $120.74 / $176.33	Professional		$120.74	$120.74	$176.33
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $151.25 / $181.50 / $388.22	Professional		$151.25	$181.50	$388.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $211.76 / $247.05 / $547.04	Professional		$211.76	$247.05	$547.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $586.57 / $1,428.20 / $1,676.42	Facility		$586.57	$1,428.20	$1,676.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,217.51 / $2,270.75 / $2,586.98	Professional		$2,217.51	$2,270.75	$2,586.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $547.06 / $547.06 / $547.06	Professional		$547.06	$547.06	$547.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $85.25 / $288.95 / $358.06	Facility		$85.25	$288.95	$358.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $120.74 / $165.40 / $269.89	Professional		$120.74	$165.40	$269.89
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $666.15 / $666.15 / $666.15	Professional		$666.15	$666.15	$666.15
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $151.25 / $257.13 / $282.33	Professional		$151.25	$257.13	$282.33
United Facility/Professional Professional Modifier Low / Median / High Price $119.91 / $132.05 / $341.50	Professional		$119.91	$132.05	$341.50