Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.24 / $222.24 / $1,166.48	Facility		$222.24	$222.24	$1,166.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.64 / $222.24 / $1,166.48	Professional		$176.64	$222.24	$1,166.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $168.77 / $613.39 / $1,283.36	Facility		$168.77	$613.39	$1,283.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $207.51 / $248.87 / $385.18	Professional		$207.51	$248.87	$385.18
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $478.63 / $854.70	Facility		$97.00	$478.63	$854.70
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $536.42 / $1,249.50	Professional		$100.00	$536.42	$1,249.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $267.94 / $267.94 / $321.17	Facility		$267.94	$267.94	$321.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.60 / $195.60 / $285.63	Professional		$195.60	$195.60	$285.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $216.10 / $259.32 / $444.73	Professional		$216.10	$259.32	$444.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $242.58 / $283.01 / $626.66	Professional		$242.58	$283.01	$626.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $695.81 / $1,928.91 / $1,928.91	Facility		$695.81	$1,928.91	$1,928.91
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,085.52 / $2,085.52 / $3,032.25	Professional		$2,085.52	$2,085.52	$3,032.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $853.66 / $853.66 / $853.66	Professional		$853.66	$853.66	$853.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $119.17 / $364.58 / $416.42	Facility		$119.17	$364.58	$416.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $195.60 / $267.94 / $384.81	Professional		$195.60	$267.94	$384.81
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $763.08 / $763.08 / $763.08	Professional		$763.08	$763.08	$763.08
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $216.10 / $323.44 / $324.14	Professional		$216.10	$323.44	$324.14
United Facility/Professional Professional Modifier Low / Median / High Price $173.77 / $201.70 / $404.30	Professional		$173.77	$201.70	$404.30