Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.52 / $198.52 / $1,041.97	Facility		$198.52	$198.52	$1,041.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.79 / $198.52 / $1,041.97	Professional		$157.79	$198.52	$1,041.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $150.75 / $547.90 / $1,146.33	Facility		$150.75	$547.90	$1,146.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $185.37 / $222.31 / $344.09	Professional		$185.37	$222.31	$344.09
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $427.55 / $763.48	Facility		$97.00	$427.55	$763.48
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $479.16 / $1,116.14	Professional		$100.00	$479.16	$1,116.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.35 / $239.35 / $286.89	Facility		$239.35	$239.35	$286.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.73 / $174.73 / $429.00	Professional		$174.73	$174.73	$429.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $193.03 / $231.64 / $397.24	Professional		$193.03	$231.64	$397.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $216.68 / $252.79 / $559.75	Professional		$216.68	$252.79	$559.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $621.58 / $1,722.99 / $1,722.99	Facility		$621.58	$1,722.99	$1,722.99
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,862.87 / $1,862.87 / $2,708.48	Professional		$1,862.87	$1,862.87	$2,708.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $762.53 / $762.53 / $762.53	Professional		$762.53	$762.53	$762.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $106.46 / $325.67 / $371.97	Facility		$106.46	$325.67	$371.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $174.73 / $174.73 / $352.67	Professional		$174.73	$174.73	$352.67
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $681.63 / $681.63 / $681.63	Professional		$681.63	$681.63	$681.63
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $193.03 / $288.89 / $289.55	Professional		$193.03	$288.89	$289.55
United Facility/Professional Professional Modifier Low / Median / High Price $155.22 / $174.55 / $351.48	Professional		$155.22	$174.55	$351.48