Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $184.07 / $184.07 / $960.05	Facility		$184.07	$184.07	$960.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.04 / $184.07 / $960.05	Professional		$150.04	$184.07	$960.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $139.78 / $508.03 / $1,056.22	Facility		$139.78	$508.03	$1,056.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.79 / $187.23 / $317.05	Professional		$170.79	$187.23	$317.05
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $393.93 / $703.45	Facility		$97.00	$393.93	$703.45
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $441.49 / $1,028.38	Professional		$100.00	$441.49	$1,028.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $155.62 / $220.51 / $220.51	Facility		$155.62	$220.51	$220.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.97 / $160.97 / $227.13	Professional		$160.97	$160.97	$227.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $123.37 / $148.04 / $366.01	Professional		$123.37	$148.04	$366.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $199.64 / $232.92 / $515.75	Professional		$199.64	$232.92	$515.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $572.73 / $1,599.48 / $1,599.48	Facility		$572.73	$1,599.48	$1,599.48
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,710.73 / $1,710.73 / $2,545.35	Professional		$1,710.73	$1,710.73	$2,545.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $702.51 / $702.51 / $702.51	Professional		$702.51	$702.51	$702.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $98.71 / $291.36 / $342.69	Facility		$98.71	$291.36	$342.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $160.97 / $220.51 / $316.70	Professional		$160.97	$220.51	$316.70
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $628.04 / $628.04 / $628.04	Professional		$628.04	$628.04	$628.04
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $123.37 / $209.73 / $266.19	Professional		$123.37	$209.73	$266.19
United Facility/Professional Professional Modifier Low / Median / High Price $145.50 / $166.00 / $339.25	Professional		$145.50	$166.00	$339.25