Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $303.01 / $303.01 / $1,590.37	Facility		$303.01	$303.01	$1,590.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $262.75 / $303.00 / $422.31	Professional		$262.75	$303.00	$422.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $230.10 / $836.30 / $1,749.71	Facility		$230.10	$836.30	$1,749.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $230.00 / $275.51 / $525.26	Professional		$230.00	$275.51	$525.26
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $652.59 / $1,165.33	Facility		$97.00	$652.59	$1,165.33
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $731.36 / $1,703.60	Professional		$100.00	$731.36	$1,703.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.81 / $315.25 / $437.89	Facility		$257.81	$315.25	$437.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.13 / $230.13 / $336.07	Professional		$230.13	$230.13	$336.07
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $294.64 / $353.57 / $606.33	Professional		$294.64	$353.57	$606.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $330.73 / $385.85 / $837.84	Professional		$330.73	$385.85	$837.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $887.20 / $2,629.88 / $2,629.88	Facility		$887.20	$2,629.88	$2,629.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,843.18 / $2,843.18 / $4,134.08	Professional		$2,843.18	$2,843.18	$4,134.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,163.88 / $1,163.88 / $1,163.88	Professional		$1,163.88	$1,163.88	$1,163.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $162.49 / $487.32 / $567.75	Facility		$162.49	$487.32	$567.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $230.13 / $315.25 / $524.65	Professional		$230.13	$315.25	$524.65
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,040.38 / $1,040.38 / $1,040.38	Professional		$1,040.38	$1,040.38	$1,040.38
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $294.64 / $440.97 / $441.96	Professional		$294.64	$440.97	$441.96
United Facility/Professional Professional Modifier Low / Median / High Price $228.53 / $251.69 / $524.46	Professional		$228.53	$251.69	$524.46