Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $215.03 / $215.03 / $1,377.35	Facility		$215.03	$215.03	$1,377.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.83 / $215.03 / $1,377.35	Professional		$163.83	$215.03	$1,377.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $163.30 / $672.72 / $1,515.35	Facility		$163.30	$672.72	$1,515.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.98 / $209.66 / $364.09	Professional		$190.98	$209.66	$364.09
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $565.16 / $1,009.22	Facility		$97.00	$565.16	$1,009.22
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $633.41 / $1,475.38	Professional		$100.00	$633.41	$1,475.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.28 / $227.07 / $255.18	Facility		$223.28	$227.07	$255.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.76 / $165.76 / $242.07	Professional		$165.76	$165.76	$242.07
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $234.96 / $281.95 / $525.12	Professional		$234.96	$281.95	$525.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $286.43 / $334.17 / $725.62	Professional		$286.43	$334.17	$725.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $794.72 / $1,873.73 / $2,267.56	Facility		$794.72	$1,873.73	$2,267.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,779.43 / $2,846.12 / $2,846.12	Professional		$2,779.43	$2,846.12	$2,846.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $733.96 / $733.96 / $733.96	Professional		$733.96	$733.96	$733.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $115.31 / $399.22 / $484.31	Facility		$115.31	$399.22	$484.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $165.76 / $227.07 / $433.28	Professional		$165.76	$227.07	$433.28
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $901.03 / $901.03 / $901.03	Professional		$901.03	$901.03	$901.03
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $234.96 / $381.90 / $381.90	Professional		$234.96	$381.90	$381.90
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $178.62 / $430.43	Professional		$162.18	$178.62	$430.43