Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.80 / $335.18 / $2,146.85	Facility		$234.80	$335.18	$2,146.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $278.68 / $335.18 / $2,146.85	Professional		$278.68	$335.18	$2,146.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $254.53 / $1,048.57 / $2,361.96	Facility		$254.53	$1,048.57	$2,361.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $321.19 / $339.37 / $596.22	Professional		$321.19	$339.37	$596.22
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $880.93 / $1,573.08	Facility		$97.00	$880.93	$1,573.08
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $987.27 / $2,299.69	Professional		$100.00	$987.27	$2,299.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $348.03 / $419.04 / $419.04	Facility		$348.03	$419.04	$419.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $305.89 / $305.89 / $446.71	Professional		$305.89	$305.89	$446.71
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $259.73 / $311.68 / $818.50	Professional		$259.73	$311.68	$818.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $446.45 / $520.86 / $1,131.02	Professional		$446.45	$520.86	$1,131.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,122.46 / $3,534.43 / $3,534.43	Facility		$1,122.46	$3,534.43	$3,534.43
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,571.63 / $3,633.30 / $4,589.78	Professional		$3,571.63	$3,633.30	$4,589.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,231.02 / $1,231.02 / $1,231.02	Professional		$1,231.02	$1,231.02	$1,231.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $179.74 / $622.27 / $744.09	Facility		$179.74	$622.27	$744.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $305.89 / $419.04 / $634.98	Professional		$305.89	$419.04	$634.98
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,404.42 / $1,404.42 / $1,404.42	Professional		$1,404.42	$1,404.42	$1,404.42
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $259.73 / $441.54 / $595.27	Professional		$259.73	$441.54	$595.27
United Facility/Professional Professional Modifier Low / Median / High Price $252.80 / $278.41 / $676.10	Professional		$252.80	$278.41	$676.10