Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.21 / $191.21 / $1,224.70	Facility		$191.21	$191.21	$1,224.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.16 / $191.21 / $1,224.70	Professional		$161.16	$191.21	$1,224.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $145.19 / $598.16 / $1,347.40	Facility		$145.19	$598.16	$1,347.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.71 / $201.58 / $317.81	Professional		$166.71	$201.58	$317.81
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $502.53 / $897.38	Facility		$97.00	$502.53	$897.38
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $563.20 / $1,311.90	Professional		$100.00	$563.20	$1,311.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $198.53 / $221.07 / $226.90	Facility		$198.53	$221.07	$226.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.38 / $161.38 / $235.67	Professional		$161.38	$161.38	$235.67
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $129.77 / $155.72 / $466.92	Professional		$129.77	$155.72	$466.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $254.68 / $297.13 / $645.19	Professional		$254.68	$297.13	$645.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $693.71 / $2,016.23 / $2,016.23	Facility		$693.71	$2,016.23	$2,016.23
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,062.46 / $2,062.46 / $3,071.85	Professional		$2,062.46	$2,062.46	$3,071.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,105.33 / $1,105.33 / $1,105.33	Professional		$1,105.33	$1,105.33	$1,105.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $102.53 / $364.84 / $424.47	Facility		$102.53	$364.84	$424.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $161.38 / $221.07 / $396.58	Professional		$161.38	$221.07	$396.58
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $801.17 / $801.17 / $801.17	Professional		$801.17	$801.17	$801.17
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $129.77 / $220.61 / $339.58	Professional		$129.77	$220.61	$339.58
United Facility/Professional Professional Modifier Low / Median / High Price $149.50 / $191.21 / $403.87	Professional		$149.50	$191.21	$403.87