Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $230.12 / $230.12 / $1,473.99	Facility		$230.12	$230.12	$1,473.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.56 / $230.12 / $1,473.99	Professional		$168.56	$230.12	$1,473.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $174.75 / $719.92 / $1,621.65	Facility		$174.75	$719.92	$1,621.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $220.23 / $234.08 / $408.79	Professional		$220.23	$234.08	$408.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $604.82 / $1,080.03	Facility		$97.00	$604.82	$1,080.03
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $677.85 / $1,578.92	Professional		$100.00	$677.85	$1,578.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $238.95 / $305.27 / $305.27	Facility		$238.95	$305.27	$305.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $222.85 / $222.85 / $314.44	Professional		$222.85	$222.85	$314.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $149.05 / $178.86 / $561.96	Professional		$149.05	$178.86	$561.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $306.52 / $357.61 / $776.52	Professional		$306.52	$357.61	$776.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $759.43 / $2,036.64 / $2,426.63	Facility		$759.43	$2,036.64	$2,426.63
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,452.17 / $2,458.35 / $2,905.13	Professional		$2,452.17	$2,458.35	$2,905.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $991.03 / $991.03 / $991.03	Professional		$991.03	$991.03	$991.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $123.40 / $442.67 / $510.87	Facility		$123.40	$442.67	$510.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $222.85 / $305.27 / $452.91	Professional		$222.85	$305.27	$452.91
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $964.25 / $964.25 / $964.25	Professional		$964.25	$964.25	$964.25
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $149.05 / $253.39 / $408.70	Professional		$149.05	$253.39	$408.70
United Facility/Professional Professional Modifier Low / Median / High Price $179.93 / $230.35 / $510.87	Professional		$179.93	$230.35	$510.87