Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $322.38 / $322.38 / $1,798.19	Facility		$322.38	$322.38	$1,798.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $259.68 / $322.38 / $1,798.19	Professional		$259.68	$322.38	$1,798.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.81 / $899.58 / $1,978.35	Facility		$244.81	$899.58	$1,978.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $293.94 / $326.91 / $560.36	Professional		$293.94	$326.91	$560.36
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $98.20 / $737.86 / $1,317.61	Facility		$98.20	$737.86	$1,317.61
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $826.93 / $1,926.21	Professional		$100.00	$826.93	$1,926.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.61 / $380.61 / $488.96	Facility		$380.61	$380.61	$488.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.85 / $277.85 / $698.63	Professional		$277.85	$277.85	$698.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $333.14 / $399.77 / $685.56	Professional		$333.14	$399.77	$685.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $373.94 / $436.27 / $947.32	Professional		$373.94	$436.27	$947.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,012.27 / $2,960.39 / $2,960.39	Facility		$1,012.27	$2,960.39	$2,960.39
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,991.55 / $2,991.55 / $4,449.83	Professional		$2,991.55	$2,991.55	$4,449.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,235.94 / $1,235.94 / $1,235.94	Professional		$1,235.94	$1,235.94	$1,235.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $172.87 / $560.91 / $631.66	Facility		$172.87	$560.91	$631.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $277.85 / $277.85 / $593.21	Professional		$277.85	$277.85	$593.21
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,176.33 / $1,176.33 / $1,176.33	Professional		$1,176.33	$1,176.33	$1,176.33
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $333.14 / $498.59 / $499.71	Professional		$333.14	$498.59	$499.71
United Facility/Professional Professional Modifier Low / Median / High Price $243.14 / $267.77 / $623.24	Professional		$243.14	$267.77	$623.24