Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $264.70 / $264.70 / $1,484.95	Facility		$264.70	$264.70	$1,484.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.71 / $264.70 / $1,484.95	Professional		$201.71	$264.70	$1,484.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $201.00 / $742.89 / $1,633.75	Facility		$201.00	$742.89	$1,633.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $244.51 / $269.24 / $453.88	Professional		$244.51	$269.24	$453.88
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $609.32 / $1,088.07	Facility		$97.00	$609.32	$1,088.07
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $682.89 / $1,590.68	Professional		$100.00	$682.89	$1,590.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $240.72 / $315.70 / $315.70	Facility		$240.72	$315.70	$315.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.47 / $230.47 / $336.56	Professional		$230.47	$230.47	$336.56
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $203.70 / $244.44 / $566.15	Professional		$203.70	$244.44	$566.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $308.81 / $360.28 / $782.31	Professional		$308.81	$360.28	$782.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $990.72 / $2,444.73 / $2,444.73	Facility		$990.72	$2,444.73	$2,444.73
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,581.46 / $2,581.46 / $3,305.40	Professional		$2,581.46	$2,581.46	$3,305.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,060.79 / $1,060.79 / $1,060.79	Professional		$1,060.79	$1,060.79	$1,060.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $141.94 / $447.06 / $517.46	Facility		$141.94	$447.06	$517.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $230.47 / $315.70 / $489.88	Professional		$230.47	$315.70	$489.88
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $971.42 / $971.42 / $971.42	Professional		$971.42	$971.42	$971.42
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $203.70 / $346.29 / $411.74	Professional		$203.70	$346.29	$411.74
United Facility/Professional Professional Modifier Low / Median / High Price $206.96 / $248.75 / $497.99	Professional		$206.96	$248.75	$497.99