Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.26 / $405.09 / $715.73	Facility		$219.26	$405.09	$715.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.97 / $219.26 / $1,096.00	Professional		$188.97	$219.26	$1,096.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $166.50 / $685.93 / $1,545.09	Facility		$166.50	$685.93	$1,545.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.01 / $221.05 / $363.28	Professional		$133.01	$221.05	$363.28
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $98.20 / $576.27 / $1,029.05	Facility		$98.20	$576.27	$1,029.05
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $645.84 / $1,504.35	Professional		$100.00	$645.84	$1,504.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $233.36 / $233.36 / $491.80	Facility		$233.36	$233.36	$491.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.35 / $170.35 / $331.95	Professional		$170.35	$170.35	$331.95
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $168.41 / $202.09 / $535.42	Professional		$168.41	$202.09	$535.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $292.05 / $340.73 / $739.86	Professional		$292.05	$340.73	$739.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $705.79 / $1,920.30 / $2,312.06	Facility		$705.79	$1,920.30	$2,312.06
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,544.30 / $2,605.37 / $3,256.95	Professional		$2,544.30	$2,605.37	$3,256.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $755.17 / $755.17 / $755.17	Professional		$755.17	$755.17	$755.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $117.58 / $430.33 / $491.80	Facility		$117.58	$430.33	$491.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $170.35 / $233.36 / $369.07	Professional		$170.35	$233.36	$369.07
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $918.71 / $918.71 / $918.71	Professional		$918.71	$918.71	$918.71
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $168.41 / $286.30 / $389.40	Professional		$168.41	$286.30	$389.40
United Facility/Professional Professional Modifier Low / Median / High Price $168.39 / $182.42 / $542.99	Professional		$168.39	$182.42	$542.99