Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.43 / $240.43 / $1,539.99	Facility		$240.43	$240.43	$1,539.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.91 / $240.43 / $1,490.56	Professional		$174.91	$240.43	$1,490.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $182.58 / $752.15 / $1,694.25	Facility		$182.58	$752.15	$1,694.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $196.33 / $242.52 / $374.28	Professional		$196.33	$242.52	$374.28
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $631.91 / $1,128.43	Facility		$97.00	$631.91	$1,128.43
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $708.19 / $1,649.62	Professional		$100.00	$708.19	$1,649.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $249.48 / $252.60 / $285.31	Facility		$249.48	$252.60	$285.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.40 / $184.40 / $466.50	Professional		$184.40	$184.40	$466.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $285.31 / $342.37 / $587.11	Professional		$285.31	$342.37	$587.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $320.24 / $373.62 / $811.28	Professional		$320.24	$373.62	$811.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,025.00 / $2,535.27 / $2,535.27	Facility		$1,025.00	$2,535.27	$2,535.27
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,916.85 / $4,010.85 / $4,010.85	Professional		$3,916.85	$4,010.85	$4,010.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,202.11 / $1,202.11 / $1,202.11	Professional		$1,202.11	$1,202.11	$1,202.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.93 / $453.68 / $540.97	Facility		$128.93	$453.68	$540.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $184.40 / $184.40 / $514.10	Professional		$184.40	$184.40	$514.10
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,007.42 / $1,007.42 / $1,007.42	Professional		$1,007.42	$1,007.42	$1,007.42
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $285.31 / $426.99 / $427.97	Professional		$285.31	$426.99	$427.97
United Facility/Professional Professional Modifier Low / Median / High Price $181.34 / $199.71 / $516.45	Professional		$181.34	$199.71	$516.45