Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $273.58 / $273.58 / $1,752.42	Facility		$273.58	$273.58	$1,752.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $232.68 / $273.58 / $1,752.42	Professional		$232.68	$273.58	$1,752.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $207.76 / $855.91 / $1,927.97	Facility		$207.76	$855.91	$1,927.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $237.96 / $276.35 / $453.65	Professional		$237.96	$276.35	$453.65
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $719.07 / $1,284.06	Facility		$97.00	$719.07	$1,284.06
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $805.89 / $1,877.17	Professional		$100.00	$805.89	$1,877.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $284.08 / $297.02 / $324.66	Facility		$284.08	$297.02	$324.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.82 / $216.82 / $316.64	Professional		$216.82	$216.82	$316.64
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $324.66 / $389.59 / $668.11	Professional		$324.66	$389.59	$668.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $364.42 / $425.16 / $923.20	Professional		$364.42	$425.16	$923.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $908.90 / $2,885.01 / $2,885.01	Facility		$908.90	$2,885.01	$2,885.01
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,915.38 / $2,942.33 / $4,091.55	Professional		$2,915.38	$2,942.33	$4,091.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,027.78 / $1,027.78 / $1,027.78	Professional		$1,027.78	$1,027.78	$1,027.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $146.71 / $512.19 / $607.37	Facility		$146.71	$512.19	$607.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $216.82 / $297.02 / $517.54	Professional		$216.82	$297.02	$517.54
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,146.39 / $1,146.39 / $1,146.39	Professional		$1,146.39	$1,146.39	$1,146.39
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $324.66 / $485.90 / $486.99	Professional		$324.66	$485.90	$486.99
United Facility/Professional Professional Modifier Low / Median / High Price $210.12 / $227.26 / $577.04	Professional		$210.12	$227.26	$577.04