Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.38 / $227.38 / $1,456.46	Facility		$227.38	$227.38	$1,456.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.38 / $227.38 / $1,456.46	Professional		$187.38	$227.38	$1,456.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $172.67 / $711.35 / $1,602.35	Facility		$172.67	$711.35	$1,602.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $184.70 / $221.70 / $352.09	Professional		$184.70	$221.70	$352.09
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $597.63 / $1,067.19	Facility		$97.00	$597.63	$1,067.19
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $669.78 / $1,560.15	Professional		$100.00	$669.78	$1,560.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $235.94 / $236.57 / $269.83	Facility		$235.94	$236.57	$269.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.70 / $172.70 / $243.67	Professional		$172.70	$172.70	$243.67
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $165.93 / $199.12 / $555.27	Professional		$165.93	$199.12	$555.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $302.87 / $353.35 / $767.28	Professional		$302.87	$353.35	$767.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,011.09 / $2,397.75 / $2,397.75	Facility		$1,011.09	$2,397.75	$2,397.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,863.70 / $3,956.45 / $3,956.45	Professional		$3,863.70	$3,956.45	$3,956.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $889.00 / $889.00 / $889.00	Professional		$889.00	$889.00	$889.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $121.94 / $433.66 / $512.14	Facility		$121.94	$433.66	$512.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $172.70 / $236.56 / $437.14	Professional		$172.70	$236.56	$437.14
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $952.78 / $952.78 / $952.78	Professional		$952.78	$952.78	$952.78
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $165.93 / $282.08 / $403.83	Professional		$165.93	$282.08	$403.83
United Facility/Professional Professional Modifier Low / Median / High Price $171.50 / $188.88 / $491.29	Professional		$171.50	$188.88	$491.29