Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.08 / $216.56 / $2,026.93	Facility		$55.08	$216.56	$2,026.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $348.60 / $421.94 / $1,392.78	Professional		$348.60	$421.94	$1,392.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $307.31 / $370.11 / $978.53	Facility		$307.31	$370.11	$978.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $427.21 / $428.25 / $763.17	Professional		$427.21	$428.25	$763.17
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $932.13 / $2,171.23	Professional		$100.00	$932.13	$2,171.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $403.42 / $502.54 / $502.54	Facility		$403.42	$502.54	$502.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $427.16 / $427.16 / $517.62	Professional		$427.16	$427.16	$517.62
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $562.02 / $702.52 / $843.02	Professional		$562.02	$702.52	$843.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $421.51 / $491.76 / $1,067.83	Professional		$421.51	$491.76	$1,067.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,665.84 / $3,746.76 / $3,746.76	Facility		$1,665.84	$3,746.76	$3,746.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,664.72 / $4,664.72 / $6,240.45	Professional		$4,664.72	$4,664.72	$6,240.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,632.25 / $1,632.25 / $1,632.25	Professional		$1,632.25	$1,632.25	$1,632.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $226.26 / $632.27 / $737.65	Facility		$226.26	$632.27	$737.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $427.16 / $502.54 / $738.18	Professional		$427.16	$502.54	$738.18
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,325.97 / $1,325.97 / $1,325.97	Professional		$1,325.97	$1,325.97	$1,325.97
United Facility/Professional Professional Modifier Low / Median / High Price $329.90 / $357.49 / $708.78	Professional		$329.90	$357.49	$708.78