Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.58 / $218.58 / $1,323.32	Facility		$218.58	$218.58	$1,323.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.64 / $218.58 / $1,323.32	Professional		$164.64	$218.58	$1,323.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.98 / $647.95 / $1,455.89	Facility		$165.98	$647.95	$1,455.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.58 / $221.31 / $420.48	Professional		$218.58	$221.31	$420.48
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $543.02 / $969.68	Facility		$97.00	$543.02	$969.68
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $608.54 / $1,417.51	Professional		$100.00	$608.54	$1,417.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.53 / $292.48 / $292.48	Facility		$214.53	$292.48	$292.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.51 / $213.51 / $301.25	Professional		$213.51	$213.51	$301.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $149.29 / $179.15 / $504.52	Professional		$149.29	$179.15	$504.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $275.19 / $321.06 / $697.15	Professional		$275.19	$321.06	$697.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $917.82 / $2,178.59 / $2,178.59	Facility		$917.82	$2,178.59	$2,178.59
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,201.52 / $2,201.52 / $2,729.40	Professional		$2,201.52	$2,201.52	$2,729.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $825.43 / $825.43 / $825.43	Professional		$825.43	$825.43	$825.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $117.21 / $396.39 / $458.65	Facility		$117.21	$396.39	$458.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $213.51 / $292.48 / $389.85	Professional		$213.51	$292.48	$389.85
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $865.68 / $865.68 / $865.68	Professional		$865.68	$865.68	$865.68
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $149.29 / $253.79 / $366.92	Professional		$149.29	$253.79	$366.92
United Facility/Professional Professional Modifier Low / Median / High Price $172.77 / $213.23 / $462.74	Professional		$172.77	$213.23	$462.74