Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $276.20 / $276.20 / $1,769.11	Facility		$276.20	$276.20	$1,769.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.41 / $276.20 / $1,769.11	Professional		$224.41	$276.20	$1,769.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $209.74 / $864.07 / $1,946.35	Facility		$209.74	$864.07	$1,946.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $244.00 / $280.08 / $465.26	Professional		$244.00	$280.08	$465.26
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $725.93 / $1,296.30	Facility		$97.00	$725.93	$1,296.30
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $813.55 / $1,895.05	Professional		$100.00	$813.55	$1,895.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $286.79 / $352.55 / $352.55	Facility		$286.79	$352.55	$352.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.36 / $257.36 / $363.13	Professional		$257.36	$257.36	$363.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $327.76 / $393.31 / $674.48	Professional		$327.76	$393.31	$674.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $367.90 / $429.21 / $932.00	Professional		$367.90	$429.21	$932.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,015.57 / $2,469.31 / $2,912.51	Facility		$1,015.57	$2,469.31	$2,912.51
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,369.92 / $3,450.78 / $4,077.98	Professional		$3,369.92	$3,450.78	$4,077.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $991.29 / $991.29 / $991.29	Professional		$991.29	$991.29	$991.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $148.11 / $521.19 / $622.07	Facility		$148.11	$521.19	$622.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $257.36 / $352.55 / $583.61	Professional		$257.36	$352.55	$583.61
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,157.31 / $1,157.31 / $1,157.31	Professional		$1,157.31	$1,157.31	$1,157.31
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $327.76 / $490.53 / $491.64	Professional		$327.76	$490.53	$491.64
United Facility/Professional Professional Modifier Low / Median / High Price $208.32 / $229.42 / $613.16	Professional		$208.32	$229.42	$613.16