Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.33 / $194.33 / $1,244.76	Facility		$194.33	$194.33	$1,244.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.16 / $194.33 / $1,244.76	Professional		$150.16	$194.33	$1,244.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.57 / $607.96 / $1,369.46	Facility		$147.57	$607.96	$1,369.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $192.71 / $196.76 / $381.26	Professional		$192.71	$196.76	$381.26
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $510.76 / $912.07	Facility		$97.00	$510.76	$912.07
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $572.41 / $1,333.38	Professional		$100.00	$572.41	$1,333.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $201.64 / $268.08 / $268.08	Facility		$201.64	$268.08	$268.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.70 / $195.70 / $285.79	Professional		$195.70	$195.70	$285.79
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $171.62 / $205.94 / $474.56	Professional		$171.62	$205.94	$474.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $258.85 / $301.99 / $655.76	Professional		$258.85	$301.99	$655.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $775.52 / $2,049.25 / $2,049.25	Facility		$775.52	$2,049.25	$2,049.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,451.87 / $2,510.73 / $2,949.23	Professional		$2,451.87	$2,510.73	$2,949.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $971.63 / $971.63 / $971.63	Professional		$971.63	$971.63	$971.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.21 / $345.91 / $437.68	Facility		$104.21	$345.91	$437.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $195.70 / $268.08 / $344.76	Professional		$195.70	$268.08	$344.76
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $814.29 / $814.29 / $814.29	Professional		$814.29	$814.29	$814.29
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $171.62 / $291.75 / $345.14	Professional		$171.62	$291.75	$345.14
United Facility/Professional Professional Modifier Low / Median / High Price $153.61 / $188.33 / $604.98	Professional		$153.61	$188.33	$604.98