Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $214.95 / $214.95 / $1,091.58	Facility		$214.95	$214.95	$1,091.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.69 / $214.95 / $1,091.58	Professional		$156.69	$214.95	$1,091.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $163.22 / $580.00 / $1,200.96	Facility		$163.22	$580.00	$1,200.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $215.92 / $217.64 / $400.81	Professional		$215.92	$217.64	$400.81
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $447.89 / $799.81	Facility		$97.00	$447.89	$799.81
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $501.99 / $1,169.30	Professional		$100.00	$501.99	$1,169.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $176.94 / $297.81 / $297.81	Facility		$176.94	$297.81	$297.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.40 / $217.40 / $306.74	Professional		$217.40	$217.40	$306.74
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $135.28 / $162.34 / $416.17	Professional		$135.28	$162.34	$416.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $227.00 / $264.83 / $586.42	Professional		$227.00	$264.83	$586.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $874.89 / $1,908.80 / $1,908.80	Facility		$874.89	$1,908.80	$1,908.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,376.46 / $2,376.46 / $2,684.25	Professional		$2,376.46	$2,376.46	$2,684.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $733.69 / $733.69 / $733.69	Professional		$733.69	$733.69	$733.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $115.27 / $334.47 / $383.43	Facility		$115.27	$334.47	$383.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $217.40 / $297.81 / $368.65	Professional		$217.40	$297.81	$368.65
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $714.09 / $714.09 / $714.09	Professional		$714.09	$714.09	$714.09
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $135.28 / $229.98 / $302.67	Professional		$135.28	$229.98	$302.67
United Facility/Professional Professional Modifier Low / Median / High Price $169.91 / $194.32 / $428.46	Professional		$169.91	$194.32	$428.46