Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $267.41 / $267.41 / $1,712.79	Facility		$267.41	$267.41	$1,712.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.75 / $267.41 / $1,712.79	Professional		$199.75	$267.41	$1,712.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $203.07 / $836.56 / $1,884.39	Facility		$203.07	$836.56	$1,884.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $260.11 / $270.76 / $482.82	Professional		$260.11	$270.76	$482.82
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $702.81 / $1,255.02	Facility		$97.00	$702.81	$1,255.02
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $787.65 / $1,834.69	Professional		$100.00	$787.65	$1,834.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $277.66 / $335.84 / $335.84	Facility		$277.66	$335.84	$335.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.16 / $245.16 / $601.88	Professional		$245.16	$245.16	$601.88
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $137.12 / $164.54 / $653.00	Professional		$137.12	$164.54	$653.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $356.18 / $415.55 / $902.33	Professional		$356.18	$415.55	$902.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,053.89 / $2,819.79 / $2,819.79	Facility		$1,053.89	$2,819.79	$2,819.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,938.52 / $2,938.52 / $4,364.10	Professional		$2,938.52	$2,938.52	$4,364.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $935.29 / $935.29 / $935.29	Professional		$935.29	$935.29	$935.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $143.40 / $513.04 / $593.64	Facility		$143.40	$513.04	$593.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $245.16 / $245.16 / $565.03	Professional		$245.16	$245.16	$565.03
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,120.47 / $1,120.47 / $1,120.47	Professional		$1,120.47	$1,120.47	$1,120.47
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $137.12 / $233.10 / $474.91	Professional		$137.12	$233.10	$474.91
United Facility/Professional Professional Modifier Low / Median / High Price $211.37 / $261.80 / $548.34	Professional		$211.37	$261.80	$548.34