Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.42 / $219.42 / $1,104.33	Facility		$219.42	$219.42	$1,104.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.54 / $219.42 / $1,104.33	Professional		$171.54	$219.42	$1,104.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $166.62 / $586.76 / $1,214.96	Facility		$166.62	$586.76	$1,214.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $178.21 / $221.25 / $339.75	Professional		$178.21	$221.25	$339.75
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $453.16 / $809.22	Facility		$97.00	$453.16	$809.22
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $507.85 / $1,182.95	Professional		$100.00	$507.85	$1,182.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $179.03 / $228.28 / $228.28	Facility		$179.03	$228.28	$228.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.64 / $166.64 / $243.36	Professional		$166.64	$166.64	$243.36
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $134.76 / $161.71 / $421.03	Professional		$134.76	$161.71	$421.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $229.65 / $267.93 / $593.26	Professional		$229.65	$267.93	$593.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $701.75 / $1,903.31 / $1,903.31	Facility		$701.75	$1,903.31	$1,903.31
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,245.58 / $2,245.58 / $3,508.73	Professional		$2,245.58	$2,245.58	$3,508.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $803.19 / $803.19 / $803.19	Professional		$803.19	$803.19	$803.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $117.66 / $338.40 / $391.80	Facility		$117.66	$338.40	$391.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $166.64 / $228.28 / $382.75	Professional		$166.64	$228.28	$382.75
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $722.42 / $722.42 / $722.42	Professional		$722.42	$722.42	$722.42
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $134.76 / $229.09 / $306.20	Professional		$134.76	$229.09	$306.20
United Facility/Professional Professional Modifier Low / Median / High Price $173.44 / $206.23 / $545.54	Professional		$173.44	$206.23	$545.54