Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $522.92 / $1,249.39 / $2,494.80	Facility		$522.92	$1,249.39	$2,494.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $297.73 / $572.54 / $600.00	Professional		$297.73	$572.54	$600.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $312.00 / $737.33 / $1,881.78	Facility		$312.00	$737.33	$1,881.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.68 / $686.55 / $1,552.22	Professional		$152.68	$686.55	$1,552.22
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $275.97 / $1,076.39	Facility		$92.60	$275.97	$1,076.39
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $68.92 / $98.46 / $1,503.28	Professional		$68.92	$98.46	$1,503.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.63 / $655.01 / $1,277.77	Facility		$245.63	$655.01	$1,277.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.29 / $252.81 / $737.39	Professional		$82.29	$252.81	$737.39
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $121.06 / $381.70 / $515.29	Professional		$121.06	$381.70	$515.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $343.53 / $438.96 / $744.32	Professional		$343.53	$438.96	$744.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $664.16 / $1,813.08 / $1,813.08	Facility		$664.16	$1,813.08	$1,813.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,908.50 / $1,908.50 / $2,862.75	Professional		$1,908.50	$1,908.50	$2,862.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $458.04 / $458.04 / $458.04	Professional		$458.04	$458.04	$458.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $271.08 / $496.22 / $1,096.89	Facility		$271.08	$496.22	$1,096.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $117.16 / $419.87 / $763.40	Professional		$117.16	$419.87	$763.40
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,339.76 / $1,339.76 / $1,339.76	Professional		$1,339.76	$1,339.76	$1,339.76
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $123.48 / $205.80 / $381.70	Professional		$123.48	$205.80	$381.70
United Facility/Professional Professional Modifier Low / Median / High Price $63.72 / $160.31 / $1,181.85	Professional		$63.72	$160.31	$1,181.85