Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $220.02 / $220.02 / $1,056.93	Facility		$220.02	$220.02	$1,056.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.38 / $220.02 / $1,056.93	Professional		$160.38	$220.02	$1,056.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $160.25 / $192.99 / $510.26	Facility		$160.25	$192.99	$510.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.75 / $220.02 / $464.89	Professional		$140.75	$220.02	$464.89
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $486.05 / $1,132.17	Professional		$100.00	$486.05	$1,132.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $210.64 / $228.90 / $228.90	Facility		$210.64	$228.90	$228.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.57 / $194.57 / $235.77	Professional		$194.57	$194.57	$235.77
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $293.06 / $366.32 / $439.58	Professional		$293.06	$366.32	$439.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $219.79 / $256.42 / $567.79	Professional		$219.79	$256.42	$567.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $743.63 / $1,953.68 / $1,953.68	Facility		$743.63	$1,953.68	$1,953.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,432.33 / $2,432.33 / $2,747.40	Professional		$2,432.33	$2,432.33	$2,747.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $750.95 / $750.95 / $750.95	Professional		$750.95	$750.95	$750.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $117.98 / $331.88 / $384.64	Facility		$117.98	$331.88	$384.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $194.57 / $228.90 / $427.68	Professional		$194.57	$228.90	$427.68
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $691.41 / $691.41 / $691.41	Professional		$691.41	$691.41	$691.41
United Facility/Professional Professional Modifier Low / Median / High Price $173.90 / $187.84 / $529.16	Professional		$173.90	$187.84	$529.16