Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,862.09 / $3,019.95	Facility		$575.44	$1,862.09	$3,019.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $338.84 / $467.74	Professional		$269.15	$338.84	$467.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,023.29 / $2,089.30	Facility		$537.03	$1,023.29	$2,089.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $524.81 / $1,047.13	Professional		$208.93	$524.81	$1,047.13
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $1,071.52 / $4,365.16	Facility		$69.18	$1,071.52	$4,365.16
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $316.23 / $812.83	Professional		$239.88	$316.23	$812.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $691.83 / $1,380.38	Facility		$275.42	$691.83	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Professional		$309.03	$309.03	$309.03
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $407.38 / $549.54	Professional		$331.13	$407.38	$549.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $446.68 / $724.44	Professional		$371.54	$446.68	$724.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Facility		$1,949.84	$1,949.84	$1,949.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $3,090.30 / $3,090.30	Professional		$2,041.74	$3,090.30	$3,090.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $489.78 / $1,071.52	Facility		$338.84	$489.78	$1,071.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $446.68 / $588.84	Professional		$407.38	$446.68	$588.84
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Professional		$407.38	$407.38	$407.38
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $407.38 / $4,897.79	Professional		$331.13	$407.38	$4,897.79
United Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $407.38 / $407.38	Facility		$173.78	$407.38	$407.38
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $190.55 / $794.33	Professional		$173.78	$190.55	$794.33