Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $221.96 / $221.96 / $1,421.69	Facility		$221.96	$221.96	$1,421.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.51 / $221.96 / $1,421.69	Professional		$171.51	$221.96	$1,421.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $168.56 / $694.37 / $1,564.10	Facility		$168.56	$694.37	$1,564.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $180.28 / $225.09 / $343.68	Professional		$180.28	$225.09	$343.68
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $583.35 / $1,041.70	Facility		$97.00	$583.35	$1,041.70
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $653.79 / $1,522.86	Professional		$100.00	$653.79	$1,522.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $230.47 / $230.92 / $263.39	Facility		$230.47	$230.92	$263.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.57 / $168.57 / $237.85	Professional		$168.57	$168.57	$237.85
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $251.30 / $301.56 / $542.01	Professional		$251.30	$301.56	$542.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $295.64 / $344.92 / $748.96	Professional		$295.64	$344.92	$748.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $778.19 / $2,340.52 / $2,340.52	Facility		$778.19	$2,340.52	$2,340.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,973.74 / $3,045.11 / $3,045.11	Professional		$2,973.74	$3,045.11	$3,045.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $757.57 / $757.57 / $757.57	Professional		$757.57	$757.57	$757.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $119.03 / $395.09 / $499.91	Facility		$119.03	$395.09	$499.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $168.57 / $230.92 / $364.06	Professional		$168.57	$230.92	$364.06
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $930.04 / $930.04 / $930.04	Professional		$930.04	$930.04	$930.04
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $251.30 / $394.19 / $394.19	Professional		$251.30	$394.19	$394.19
United Facility/Professional Professional Modifier Low / Median / High Price $167.40 / $184.37 / $492.74	Professional		$167.40	$184.37	$492.74