Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $266.68 / $266.68 / $1,399.76	Facility		$266.68	$266.68	$1,399.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.97 / $266.68 / $1,399.76	Professional		$211.97	$266.68	$1,399.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $202.52 / $736.06 / $1,540.01	Facility		$202.52	$736.06	$1,540.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.64 / $298.61 / $462.24	Professional		$213.64	$298.61	$462.24
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $574.36 / $1,025.64	Facility		$97.00	$574.36	$1,025.64
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $643.71 / $1,499.42	Professional		$100.00	$643.71	$1,499.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $321.50 / $321.50 / $385.40	Facility		$321.50	$321.50	$385.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.70 / $234.70 / $576.38	Professional		$234.70	$234.70	$576.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $270.47 / $324.56 / $533.66	Professional		$270.47	$324.56	$533.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $291.08 / $339.61 / $737.43	Professional		$291.08	$339.61	$737.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $835.01 / $2,314.59 / $2,314.59	Facility		$835.01	$2,314.59	$2,314.59
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,502.40 / $2,502.40 / $3,638.63	Professional		$2,502.40	$2,502.40	$3,638.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,024.36 / $1,024.36 / $1,024.36	Professional		$1,024.36	$1,024.36	$1,024.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $143.01 / $436.64 / $499.69	Facility		$143.01	$436.64	$499.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $234.70 / $234.70 / $473.78	Professional		$234.70	$234.70	$473.78
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $915.69 / $915.69 / $915.69	Professional		$915.69	$915.69	$915.69
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $270.47 / $388.12 / $405.71	Professional		$270.47	$388.12	$405.71
United Facility/Professional Professional Modifier Low / Median / High Price $210.79 / $242.03 / $472.17	Professional		$210.79	$242.03	$472.17