Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $318.18 / $318.18 / $2,038.00	Facility		$318.18	$318.18	$2,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.86 / $318.18 / $1,972.60	Professional		$245.86	$318.18	$1,972.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $241.62 / $995.39 / $2,242.17	Facility		$241.62	$995.39	$2,242.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $265.31 / $322.16 / $505.77	Professional		$265.31	$322.16	$505.77
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $836.28 / $1,493.36	Facility		$97.00	$836.28	$1,493.36
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $937.21 / $2,183.10	Professional		$100.00	$937.21	$2,183.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $330.39 / $331.03 / $377.58	Facility		$330.39	$331.03	$377.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $241.65 / $241.65 / $352.89	Professional		$241.65	$241.65	$352.89
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $337.31 / $404.77 / $776.99	Professional		$337.31	$404.77	$776.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $423.81 / $494.45 / $1,073.65	Professional		$423.81	$494.45	$1,073.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,104.00 / $2,763.54 / $3,355.16	Facility		$1,104.00	$2,763.54	$3,355.16
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,991.82 / $4,087.62 / $4,109.03	Professional		$3,991.82	$4,087.62	$4,109.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,086.00 / $1,086.00 / $1,086.00	Professional		$1,086.00	$1,086.00	$1,086.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $170.63 / $566.38 / $716.63	Facility		$170.63	$566.38	$716.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $241.65 / $331.03 / $517.35	Professional		$241.65	$331.03	$517.35
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,333.21 / $1,333.21 / $1,333.21	Professional		$1,333.21	$1,333.21	$1,333.21
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $337.31 / $565.08 / $565.08	Professional		$337.31	$565.08	$565.08
United Facility/Professional Professional Modifier Low / Median / High Price $239.99 / $264.29 / $671.07	Professional		$239.99	$264.29	$671.07