Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $310.14 / $310.14 / $1,962.56	Facility		$310.14	$310.14	$1,962.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $259.12 / $310.14 / $1,962.56	Professional		$259.12	$310.14	$1,962.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $235.52 / $958.54 / $2,159.16	Facility		$235.52	$958.54	$2,159.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $279.48 / $302.39 / $532.78	Professional		$279.48	$302.39	$532.78
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $98.20 / $805.31 / $1,438.06	Facility		$98.20	$805.31	$1,438.06
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $902.52 / $2,102.27	Professional		$100.00	$902.52	$2,102.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $318.14 / $347.46 / $363.60	Facility		$318.14	$347.46	$363.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.65 / $253.65 / $357.88	Professional		$253.65	$253.65	$357.88
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $363.60 / $436.32 / $748.22	Professional		$363.60	$436.32	$748.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $408.12 / $476.14 / $1,033.90	Professional		$408.12	$476.14	$1,033.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,162.95 / $3,230.95 / $3,230.95	Facility		$1,162.95	$3,230.95	$3,230.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,264.96 / $3,264.96 / $3,873.08	Professional		$3,264.96	$3,264.96	$3,873.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,144.59 / $1,144.59 / $1,144.59	Professional		$1,144.59	$1,144.59	$1,144.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $166.32 / $558.63 / $680.20	Facility		$166.32	$558.63	$680.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $253.65 / $347.46 / $607.23	Professional		$253.65	$347.46	$607.23
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,283.85 / $1,283.85 / $1,283.85	Professional		$1,283.85	$1,283.85	$1,283.85
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $363.60 / $544.16 / $545.40	Professional		$363.60	$544.16	$545.40
United Facility/Professional Professional Modifier Low / Median / High Price $238.20 / $262.14 / $646.23	Professional		$238.20	$262.14	$646.23