Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $301.19 / $301.19 / $1,446.89	Facility		$301.19	$301.19	$1,446.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.67 / $301.19 / $1,446.89	Professional		$225.67	$301.19	$1,446.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $228.72 / $768.77 / $1,591.85	Facility		$228.72	$768.77	$1,591.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $266.58 / $304.95 / $494.86	Professional		$266.58	$304.95	$494.86
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $593.70 / $1,060.18	Facility		$97.00	$593.70	$1,060.18
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $665.37 / $1,549.87	Professional		$100.00	$665.37	$1,549.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.56 / $344.22 / $344.22	Facility		$234.56	$344.22	$344.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.28 / $251.28 / $354.55	Professional		$251.28	$251.28	$354.55
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $202.18 / $242.62 / $551.63	Professional		$202.18	$242.62	$551.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $300.89 / $351.04 / $762.25	Professional		$300.89	$351.04	$762.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $949.47 / $2,561.73 / $2,561.73	Facility		$949.47	$2,561.73	$2,561.73
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,309.77 / $3,309.77 / $3,761.10	Professional		$3,309.77	$3,309.77	$3,761.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,370.71 / $1,370.71 / $1,370.71	Professional		$1,370.71	$1,370.71	$1,370.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $161.51 / $443.35 / $540.27	Facility		$161.51	$443.35	$540.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $251.28 / $344.22 / $540.27	Professional		$251.28	$344.22	$540.27
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $946.52 / $946.52 / $946.52	Professional		$946.52	$946.52	$946.52
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $202.18 / $343.71 / $401.18	Professional		$202.18	$343.71	$401.18
United Facility/Professional Professional Modifier Low / Median / High Price $235.49 / $270.20 / $501.48	Professional		$235.49	$270.20	$501.48