Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.32 / $164.32 / $1,052.52	Facility		$164.32	$164.32	$1,052.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.41 / $164.32 / $1,052.52	Professional		$135.41	$164.32	$1,052.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $124.78 / $514.08 / $1,157.98	Facility		$124.78	$514.08	$1,157.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.52 / $163.91 / $264.08	Professional		$138.52	$163.91	$264.08
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $431.88 / $771.21	Facility		$97.00	$431.88	$771.21
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $484.02 / $1,127.46	Professional		$100.00	$484.02	$1,127.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.51 / $170.96 / $194.99	Facility		$170.51	$170.96	$194.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.80 / $124.80 / $329.25	Professional		$124.80	$124.80	$329.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $194.99 / $233.99 / $401.28	Professional		$194.99	$233.99	$401.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $218.88 / $255.36 / $565.44	Professional		$218.88	$255.36	$565.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $619.17 / $1,732.80 / $1,732.80	Facility		$619.17	$1,732.80	$1,732.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,366.10 / $2,422.89 / $2,422.89	Professional		$2,366.10	$2,422.89	$2,422.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $747.84 / $747.84 / $747.84	Professional		$747.84	$747.84	$747.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $88.12 / $310.08 / $370.09	Facility		$88.12	$310.08	$370.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $124.80 / $124.80 / $315.42	Professional		$124.80	$124.80	$315.42
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $688.53 / $688.53 / $688.53	Professional		$688.53	$688.53	$688.53
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $194.99 / $291.83 / $292.49	Professional		$194.99	$291.83	$292.49
United Facility/Professional Professional Modifier Low / Median / High Price $123.94 / $136.49 / $352.97	Professional		$123.94	$136.49	$352.97