Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $470.76 / $863.98 / $3,241.21	Facility		$470.76	$863.98	$3,241.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.89 / $482.10 / $1,519.00	Professional		$220.89	$482.10	$1,519.00
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 / $471.35 / $1,154.18	Professional		$205.82	$471.35	$1,154.18
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $58.70 / $100.00 / $5,144.32	Facility		$58.70	$100.00	$5,144.32
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $258.33 / $369.04 / $1,418.23	Professional		$258.33	$369.04	$1,418.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $306.13 / $720.62 / $1,450.99	Facility		$306.13	$720.62	$1,450.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.26 / $461.10 / $1,735.50	Professional		$272.26	$461.10	$1,735.50
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 $500.13 / $500.13 / $500.13	Professional		$500.13	$500.13	$500.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $387.40 / $541.80 / $1,230.74	Facility		$387.40	$541.80	$1,230.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $291.16 / $495.44 / $1,277.89	Professional		$291.16	$495.44	$1,277.89
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 / $238.46 / $937.40	Professional		$175.05	$238.46	$937.40