Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $238.53 / $238.53 / $1,251.91	Facility		$238.53	$238.53	$1,251.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.59 / $238.53 / $1,251.91	Professional		$189.59	$238.53	$1,251.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $181.13 / $658.32 / $1,377.33	Facility		$181.13	$658.32	$1,377.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $222.73 / $267.12 / $413.47	Professional		$222.73	$267.12	$413.47
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $98.20 / $513.71 / $917.34	Facility		$98.20	$513.71	$917.34
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $575.71 / $1,341.02	Professional		$100.00	$575.71	$1,341.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $286.80 / $286.80 / $344.70	Facility		$286.80	$286.80	$344.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.36 / $209.36 / $515.25	Professional		$209.36	$209.36	$515.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $231.94 / $278.33 / $477.29	Professional		$231.94	$278.33	$477.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $260.33 / $303.73 / $669.00	Professional		$260.33	$303.73	$669.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $746.91 / $2,070.19 / $2,070.19	Facility		$746.91	$2,070.19	$2,070.19
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,238.21 / $2,238.21 / $3,254.25	Professional		$2,238.21	$2,238.21	$3,254.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $916.22 / $916.22 / $916.22	Professional		$916.22	$916.22	$916.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $127.91 / $391.31 / $446.94	Facility		$127.91	$391.31	$446.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $209.36 / $209.36 / $423.73	Professional		$209.36	$209.36	$423.73
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $818.97 / $818.97 / $818.97	Professional		$818.97	$818.97	$818.97
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $231.94 / $347.12 / $347.91	Professional		$231.94	$347.12	$347.91
United Facility/Professional Professional Modifier Low / Median / High Price $188.54 / $223.01 / $593.07	Professional		$188.54	$223.01	$593.07