Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $296.70 / $296.70 / $1,900.41	Facility		$296.70	$296.70	$1,900.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.87 / $296.70 / $1,900.41	Professional		$226.87	$296.70	$1,900.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $225.30 / $928.20 / $2,090.82	Facility		$225.30	$928.20	$2,090.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $292.26 / $300.87 / $557.15	Professional		$292.26	$300.87	$557.15
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $779.79 / $1,392.49	Facility		$97.00	$779.79	$1,392.49
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $873.93 / $2,035.68	Professional		$100.00	$873.93	$2,035.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $308.07 / $387.54 / $387.54	Facility		$308.07	$387.54	$387.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $282.89 / $282.89 / $399.17	Professional		$282.89	$282.89	$399.17
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $264.25 / $317.10 / $724.54	Professional		$264.25	$317.10	$724.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $395.20 / $461.07 / $1,001.18	Professional		$395.20	$461.07	$1,001.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,134.08 / $3,128.68 / $3,128.68	Facility		$1,134.08	$3,128.68	$3,128.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,585.38 / $3,671.42 / $3,705.00	Professional		$3,585.38	$3,671.42	$3,705.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,075.69 / $1,075.69 / $1,075.69	Professional		$1,075.69	$1,075.69	$1,075.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $159.11 / $559.87 / $668.24	Facility		$159.11	$559.87	$668.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $282.89 / $387.54 / $626.91	Professional		$282.89	$387.54	$626.91
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,243.21 / $1,243.21 / $1,243.21	Professional		$1,243.21	$1,243.21	$1,243.21
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $264.25 / $449.23 / $526.94	Professional		$264.25	$449.23	$526.94
United Facility/Professional Professional Modifier Low / Median / High Price $227.86 / $246.85 / $664.54	Professional		$227.86	$246.85	$664.54