Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,023.29 / $1,862.09	Facility		$416.87	$1,023.29	$1,862.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $239.88 / $1,862.09	Professional		$186.21	$239.88	$1,862.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $660.69 / $1,412.54	Facility		$131.83	$660.69	$1,412.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $295.12 / $660.69	Professional		$251.19	$295.12	$660.69
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $602.56 / $794.33	Facility		$100.00	$602.56	$794.33
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $218.78 / $562.34	Professional		$165.96	$218.78	$562.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $489.78 / $1,023.29	Facility		$190.55	$489.78	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $190.55 / $645.65	Professional		$144.54	$190.55	$645.65
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $281.84 / $380.19	Professional		$223.87	$281.84	$380.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $309.03 / $489.78	Professional		$257.04	$309.03	$489.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Facility		$1,348.96	$1,348.96	$1,348.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,137.96 / $2,137.96	Professional		$1,412.54	$2,137.96	$2,137.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $338.84 / $831.76	Facility		$223.87	$338.84	$831.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $281.84 / $575.44	Professional		$151.36	$281.84	$575.44
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Professional		$1,000.00	$1,000.00	$1,000.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $281.84 / $3,388.44	Professional		$223.87	$281.84	$3,388.44
United Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $281.84 / $281.84	Facility		$117.49	$281.84	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $549.54	Professional		$117.49	$117.49	$549.54