Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $301.61 / $301.61 / $1,931.85	Facility		$301.61	$301.61	$1,931.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $233.05 / $301.61 / $1,931.85	Professional		$233.05	$301.61	$1,931.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $229.04 / $943.56 / $2,125.42	Facility		$229.04	$943.56	$2,125.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $274.67 / $308.99 / $523.63	Professional		$274.67	$308.99	$523.63
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $792.72 / $1,415.56	Facility		$97.00	$792.72	$1,415.56
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $888.40 / $2,069.40	Professional		$100.00	$888.40	$2,069.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $313.17 / $313.79 / $357.91	Facility		$313.17	$313.79	$357.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.07 / $229.07 / $334.52	Professional		$229.07	$229.07	$334.52
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $274.89 / $329.87 / $736.53	Professional		$274.89	$329.87	$736.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $401.74 / $468.70 / $1,017.75	Professional		$401.74	$468.70	$1,017.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,142.97 / $2,738.27 / $3,180.46	Facility		$1,142.97	$2,738.27	$3,180.46
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,766.55 / $3,856.95 / $4,491.68	Professional		$3,766.55	$3,856.95	$4,491.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,029.46 / $1,029.46 / $1,029.46	Professional		$1,029.46	$1,029.46	$1,029.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $161.74 / $569.13 / $679.31	Facility		$161.74	$569.13	$679.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $229.07 / $313.79 / $608.17	Professional		$229.07	$313.79	$608.17
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,263.77 / $1,263.77 / $1,263.77	Professional		$1,263.77	$1,263.77	$1,263.77
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $274.89 / $467.31 / $535.66	Professional		$274.89	$467.31	$535.66
United Facility/Professional Professional Modifier Low / Median / High Price $231.64 / $250.53 / $608.39	Professional		$231.64	$250.53	$608.39