Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $284.26 / $284.26 / $1,518.44	Facility		$284.26	$284.26	$1,518.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.64 / $284.26 / $1,518.44	Professional		$229.64	$284.26	$1,518.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $207.04 / $249.35 / $659.27	Facility		$207.04	$249.35	$659.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $201.39 / $284.26 / $600.65	Professional		$201.39	$284.26	$600.65
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $698.28 / $1,626.55	Professional		$100.00	$698.28	$1,626.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $271.72 / $420.61 / $420.61	Facility		$271.72	$420.61	$420.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $357.52 / $357.52 / $433.23	Professional		$357.52	$357.52	$433.23
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $281.33 / $337.60 / $578.90	Professional		$281.33	$337.60	$578.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $315.76 / $368.39 / $799.93	Professional		$315.76	$368.39	$799.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,066.93 / $2,499.78 / $2,499.78	Facility		$1,066.93	$2,499.78	$2,499.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,617.39 / $2,617.39 / $3,930.90	Professional		$2,617.39	$2,617.39	$3,930.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,077.43 / $1,077.43 / $1,077.43	Professional		$1,077.43	$1,077.43	$1,077.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $152.43 / $465.28 / $526.27	Facility		$152.43	$465.28	$526.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $357.52 / $420.61 / $503.23	Professional		$357.52	$420.61	$503.23
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $993.32 / $993.32 / $993.32	Professional		$993.32	$993.32	$993.32
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $281.33 / $421.02 / $422.00	Professional		$281.33	$421.02	$422.00
United Facility/Professional Professional Modifier Low / Median / High Price $224.69 / $260.20 / $474.48	Professional		$224.69	$260.20	$474.48