Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $318.95 / $1,086.70 / $2,443.23	Facility		$318.95	$1,086.70	$2,443.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.91 / $318.95 / $2,412.86	Professional		$243.91	$318.95	$2,412.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $312.00 / $724.87 / $1,849.98	Facility		$312.00	$724.87	$1,849.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.10 / $422.82 / $1,001.21	Professional		$150.10	$422.82	$1,001.21
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $495.33 / $3,365.99	Facility		$59.40	$495.33	$3,365.99
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $170.74 / $243.91 / $613.16	Professional		$170.74	$243.91	$613.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $258.89 / $643.91 / $1,256.14	Facility		$258.89	$643.91	$1,256.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.74 / $322.72 / $1,526.98	Professional		$199.74	$322.72	$1,526.98
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $300.20 / $375.25 / $506.59	Professional		$300.20	$375.25	$506.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $337.73 / $431.54 / $825.55	Professional		$337.73	$431.54	$825.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $652.94 / $1,782.44 / $1,782.44	Facility		$652.94	$1,782.44	$1,782.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,876.25 / $1,876.25 / $2,814.38	Professional		$1,876.25	$1,876.25	$2,814.38
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 $300.20 / $450.30 / $1,076.36	Facility		$300.20	$450.30	$1,076.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $204.56 / $431.54 / $1,015.44	Professional		$204.56	$431.54	$1,015.44
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,317.12 / $1,317.12 / $1,317.12	Professional		$1,317.12	$1,317.12	$1,317.12
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $300.20 / $337.73 / $510.34	Professional		$300.20	$337.73	$510.34
United Facility/Professional Professional Modifier Low / Median / High Price $157.61 / $157.61 / $745.55	Professional		$157.61	$157.61	$745.55