Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $322.33 / $322.33 / $2,064.55	Facility		$322.33	$322.33	$2,064.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $271.19 / $322.33 / $2,064.55	Professional		$271.19	$322.33	$2,064.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.77 / $1,008.35 / $2,271.37	Facility		$244.77	$1,008.35	$2,271.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $286.43 / $322.33 / $546.04	Professional		$286.43	$322.33	$546.04
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $847.15 / $1,512.77	Facility		$97.00	$847.15	$1,512.77
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $949.41 / $2,211.52	Professional		$100.00	$949.41	$2,211.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $334.68 / $335.34 / $382.49	Facility		$334.68	$335.34	$382.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $244.80 / $244.80 / $345.40	Professional		$244.80	$244.80	$345.40
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $249.84 / $299.81 / $787.11	Professional		$249.84	$299.81	$787.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $429.33 / $500.89 / $1,087.64	Professional		$429.33	$500.89	$1,087.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,191.89 / $2,852.46 / $3,398.86	Facility		$1,191.89	$2,852.46	$3,398.86
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,130.01 / $4,229.14 / $4,229.14	Professional		$4,130.01	$4,229.14	$4,229.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,911.66 / $1,911.66 / $1,911.66	Professional		$1,911.66	$1,911.66	$1,911.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $172.85 / $608.22 / $725.96	Facility		$172.85	$608.22	$725.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $244.80 / $335.34 / $548.04	Professional		$244.80	$335.34	$548.04
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,350.58 / $1,350.58 / $1,350.58	Professional		$1,350.58	$1,350.58	$1,350.58
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $249.84 / $424.73 / $572.44	Professional		$249.84	$424.73	$572.44
United Facility/Professional Professional Modifier Low / Median / High Price $243.10 / $268.18 / $721.94	Professional		$243.10	$268.18	$721.94