Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.75 / $816.46 / $2,743.08	Facility		$123.75	$816.46	$2,743.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.56 / $551.67 / $979.20	Professional		$238.56	$551.67	$979.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $312.00 / $999.76 / $2,744.04	Facility		$312.00	$999.76	$2,744.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $222.64 / $639.04 / $1,513.22	Professional		$222.64	$639.04	$1,513.22
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $402.42 / $1,569.61	Facility		$92.60	$402.42	$1,569.61
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $431.45 / $616.35 / $1,541.18	Professional		$431.45	$616.35	$1,541.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $358.17 / $962.36 / $1,863.22	Facility		$358.17	$962.36	$1,863.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $296.36 / $478.65 / $1,506.59	Professional		$296.36	$478.65	$1,506.59
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $180.00 / $556.60 / $751.41	Professional		$180.00	$556.60	$751.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $500.94 / $640.09 / $1,085.36	Professional		$500.94	$640.09	$1,085.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $968.48 / $2,643.85 / $2,643.85	Facility		$968.48	$2,643.85	$2,643.85
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,783.00 / $2,783.00 / $4,174.50	Professional		$2,783.00	$2,783.00	$4,174.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $445.28 / $723.58 / $1,599.47	Facility		$445.28	$723.58	$1,599.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $368.72 / $640.09 / $1,142.78	Professional		$368.72	$640.09	$1,142.78
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,953.66 / $1,953.66 / $1,953.66	Professional		$1,953.66	$1,953.66	$1,953.66
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $183.60 / $306.00 / $556.60	Professional		$183.60	$306.00	$556.60
United Facility/Professional Professional Modifier Low / Median / High Price $233.77 / $233.77 / $1,105.84	Professional		$233.77	$233.77	$1,105.84