Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $244.01 / $244.01 / $1,562.89	Facility		$244.01	$244.01	$1,562.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.48 / $244.01 / $1,562.89	Professional		$202.48	$244.01	$1,562.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $185.30 / $763.34 / $1,719.45	Facility		$185.30	$763.34	$1,719.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $238.85 / $247.06 / $443.38	Professional		$238.85	$247.06	$443.38
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $641.32 / $1,145.21	Facility		$97.00	$641.32	$1,145.21
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $718.72 / $1,674.14	Professional		$100.00	$718.72	$1,674.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $253.36 / $280.67 / $289.55	Facility		$253.36	$280.67	$289.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.89 / $204.89 / $289.08	Professional		$204.89	$204.89	$289.08
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $145.71 / $174.85 / $595.85	Professional		$145.71	$174.85	$595.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $325.01 / $379.18 / $823.35	Professional		$325.01	$379.18	$823.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $967.80 / $2,572.98 / $2,572.98	Facility		$967.80	$2,572.98	$2,572.98
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,600.06 / $2,600.06 / $3,489.68	Professional		$2,600.06	$2,600.06	$3,489.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,040.53 / $1,040.53 / $1,040.53	Professional		$1,040.53	$1,040.53	$1,040.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $130.85 / $468.14 / $541.67	Facility		$130.85	$468.14	$541.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $204.89 / $280.67 / $413.21	Professional		$204.89	$280.67	$413.21
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,022.40 / $1,022.40 / $1,022.40	Professional		$1,022.40	$1,022.40	$1,022.40
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $145.71 / $247.71 / $433.34	Professional		$145.71	$247.71	$433.34
United Facility/Professional Professional Modifier Low / Median / High Price $192.87 / $232.62 / $514.09	Professional		$192.87	$232.62	$514.09