Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $262.10 / $262.10 / $1,303.51	Facility		$262.10	$262.10	$1,303.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.07 / $262.10 / $1,303.51	Professional		$191.07	$262.10	$1,303.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.04 / $692.59 / $1,434.12	Facility		$199.04	$692.59	$1,434.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $265.38 / $266.11 / $509.62	Professional		$265.38	$266.11	$509.62
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $534.89 / $955.16	Facility		$97.00	$534.89	$955.16
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $599.45 / $1,396.29	Professional		$100.00	$599.45	$1,396.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $211.32 / $366.26 / $366.26	Facility		$211.32	$366.26	$366.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $267.37 / $267.37 / $390.45	Professional		$267.37	$267.37	$390.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $137.12 / $164.54 / $496.97	Professional		$137.12	$164.54	$496.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $271.07 / $316.25 / $700.27	Professional		$271.07	$316.25	$700.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $920.61 / $2,323.85 / $2,323.85	Facility		$920.61	$2,323.85	$2,323.85
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,880.26 / $2,880.26 / $3,523.65	Professional		$2,880.26	$2,880.26	$3,523.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $894.62 / $894.62 / $894.62	Professional		$894.62	$894.62	$894.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $140.55 / $393.65 / $474.38	Facility		$140.55	$393.65	$474.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $267.37 / $366.26 / $509.51	Professional		$267.37	$366.26	$509.51
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $852.72 / $852.72 / $852.72	Professional		$852.72	$852.72	$852.72
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $137.12 / $233.10 / $361.43	Professional		$137.12	$233.10	$361.43
United Facility/Professional Professional Modifier Low / Median / High Price $204.94 / $221.53 / $429.86	Professional		$204.94	$221.53	$429.86