Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $315.69 / $315.69 / $1,865.65	Facility		$315.69	$315.69	$1,865.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $278.26 / $315.69 / $1,805.72	Professional		$278.26	$315.69	$1,805.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $239.78 / $933.35 / $2,052.60	Facility		$239.78	$933.35	$2,052.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $296.52 / $319.70 / $565.30	Professional		$296.52	$319.70	$565.30
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $765.52 / $1,367.00	Facility		$97.00	$765.52	$1,367.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $857.97 / $1,998.47	Professional		$100.00	$857.97	$1,998.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.22 / $328.44 / $345.63	Facility		$302.22	$328.44	$345.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.76 / $239.76 / $350.14	Professional		$239.76	$239.76	$350.14
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $237.44 / $284.93 / $711.29	Professional		$237.44	$284.93	$711.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $387.98 / $452.64 / $982.88	Professional		$387.98	$452.64	$982.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,233.96 / $3,071.49 / $3,071.49	Facility		$1,233.96	$3,071.49	$3,071.49
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,204.58 / $3,204.58 / $5,007.14	Professional		$3,204.58	$3,204.58	$5,007.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,308.12 / $1,308.12 / $1,308.12	Professional		$1,308.12	$1,308.12	$1,308.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $169.29 / $549.64 / $646.63	Facility		$169.29	$549.64	$646.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $239.76 / $328.44 / $532.21	Professional		$239.76	$328.44	$532.21
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,220.46 / $1,220.46 / $1,220.46	Professional		$1,220.46	$1,220.46	$1,220.46
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $237.44 / $403.65 / $517.29	Professional		$237.44	$403.65	$517.29
United Facility/Professional Professional Modifier Low / Median / High Price $238.10 / $262.22 / $613.66	Professional		$238.10	$262.22	$613.66