Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $261.33 / $261.33 / $1,312.77	Facility		$261.33	$261.33	$1,312.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $228.89 / $261.33 / $1,312.77	Professional		$228.89	$261.33	$1,312.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $198.45 / $697.50 / $1,444.27	Facility		$198.45	$697.50	$1,444.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $241.55 / $263.79 / $448.40	Professional		$241.55	$263.79	$448.40
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $538.67 / $961.92	Facility		$97.00	$538.67	$961.92
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $603.70 / $1,406.24	Professional		$100.00	$603.70	$1,406.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $212.81 / $274.54 / $274.54	Facility		$212.81	$274.54	$274.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.41 / $200.41 / $559.13	Professional		$200.41	$200.41	$559.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $149.81 / $179.77 / $500.49	Professional		$149.81	$179.77	$500.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $272.99 / $318.49 / $737.08	Professional		$272.99	$318.49	$737.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $870.24 / $2,359.33 / $2,359.33	Facility		$870.24	$2,359.33	$2,359.33
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,871.79 / $2,871.79 / $4,351.20	Professional		$2,871.79	$2,871.79	$4,351.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,189.32 / $1,189.32 / $1,189.32	Professional		$1,189.32	$1,189.32	$1,189.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $140.13 / $402.26 / $477.74	Facility		$140.13	$402.26	$477.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $200.41 / $200.41 / $477.93	Professional		$200.41	$200.41	$477.93
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $858.78 / $858.78 / $858.78	Professional		$858.78	$858.78	$858.78
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $149.81 / $254.68 / $363.99	Professional		$149.81	$254.68	$363.99
United Facility/Professional Professional Modifier Low / Median / High Price $204.34 / $224.97 / $442.82	Professional		$204.34	$224.97	$442.82