Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $485.96 / $1,122.08 / $4,130.66	Facility		$485.96	$1,122.08	$4,130.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $333.42 / $485.96 / $2,679.90	Professional		$333.42	$485.96	$2,679.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $312.00 / $805.09 / $2,054.73	Facility		$312.00	$805.09	$2,054.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $205.82 / $526.02 / $1,245.58	Professional		$205.82	$526.02	$1,245.58
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $754.67 / $5,128.33	Facility		$59.40	$754.67	$5,128.33
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $351.53 / $502.19 / $1,255.73	Professional		$351.53	$502.19	$1,255.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $306.13 / $715.20 / $1,438.18	Facility		$306.13	$715.20	$1,438.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.26 / $398.36 / $1,743.16	Professional		$272.26	$398.36	$1,743.16
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $370.47 / $426.04 / $562.65	Professional		$370.47	$426.04	$562.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $375.10 / $479.30 / $916.92	Professional		$375.10	$479.30	$916.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $725.20 / $1,979.71 / $1,979.71	Facility		$725.20	$1,979.71	$1,979.71
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,083.90 / $2,083.90 / $3,125.85	Professional		$2,083.90	$2,083.90	$3,125.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $416.78 / $416.78	Professional		$416.78	$416.78	$416.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $387.40 / $547.24 / $1,229.50	Facility		$387.40	$547.24	$1,229.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $292.44 / $490.17 / $1,283.53	Professional		$292.44	$490.17	$1,283.53
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,462.89 / $1,462.89 / $1,462.89	Professional		$1,462.89	$1,462.89	$1,462.89
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $333.42 / $414.93 / $629.79	Professional		$333.42	$414.93	$629.79
United Facility/Professional Professional Modifier Low / Median / High Price $175.05 / $240.12 / $836.48	Professional		$175.05	$240.12	$836.48