Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,148.15 / $1,737.80	Facility		$549.54	$1,148.15	$1,737.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $933.25	Professional		$549.54	$549.54	$933.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $691.83 / $1,445.44	Facility		$588.84	$691.83	$1,445.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $575.44 / $977.24	Professional		$549.54	$575.44	$977.24
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $100.00 / $831.76	Facility		$83.18	$100.00	$831.76
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $630.96 / $1,318.26	Professional		$549.54	$630.96	$1,318.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $549.54	Facility		$512.86	$512.86	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $645.65	Professional		$549.54	$549.54	$645.65
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $776.25	Professional		$575.44	$575.44	$776.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $575.44 / $1,047.13	Professional		$489.78	$575.44	$1,047.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Facility		$3,467.37	$3,467.37	$3,467.37
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Professional		$2,884.03	$2,884.03	$2,884.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $602.56 / $1,000.00	Facility		$549.54	$602.56	$1,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $794.33	Professional		$524.81	$524.81	$794.33
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Professional		$1,230.27	$1,230.27	$1,230.27
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $575.44 / $891.25	Professional		$416.87	$575.44	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $870.96 / $870.96	Facility		$549.54	$870.96	$870.96
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $676.08	Professional		$549.54	$549.54	$676.08