Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $311.70 / $311.70 / $1,996.57	Facility		$311.70	$311.70	$1,996.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $273.02 / $311.70 / $1,996.57	Professional		$273.02	$311.70	$1,996.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $236.71 / $975.17 / $2,196.62	Facility		$236.71	$975.17	$2,196.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $308.60 / $310.93 / $602.29	Professional		$308.60	$310.93	$602.29
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $819.26 / $1,462.97	Facility		$97.00	$819.26	$1,462.97
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $918.16 / $2,138.69	Professional		$100.00	$918.16	$2,138.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.44 / $324.30 / $369.90	Facility		$323.44	$324.30	$369.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.74 / $236.74 / $750.75	Professional		$236.74	$236.74	$750.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $307.56 / $369.07 / $761.20	Professional		$307.56	$369.07	$761.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $415.20 / $484.40 / $1,051.83	Professional		$415.20	$484.40	$1,051.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,314.69 / $3,287.00 / $3,287.00	Facility		$1,314.69	$3,287.00	$3,287.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,321.60 / $3,321.60 / $4,795.88	Professional		$3,321.60	$3,321.60	$4,795.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,216.49 / $1,216.49 / $1,216.49	Professional		$1,216.49	$1,216.49	$1,216.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $167.15 / $588.20 / $692.00	Facility		$167.15	$588.20	$692.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $236.74 / $236.74 / $600.28	Professional		$236.74	$236.74	$600.28
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,306.10 / $1,306.10 / $1,306.10	Professional		$1,306.10	$1,306.10	$1,306.10
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $307.56 / $522.85 / $553.60	Professional		$307.56	$522.85	$553.60
United Facility/Professional Professional Modifier Low / Median / High Price $235.10 / $258.92 / $729.52	Professional		$235.10	$258.92	$729.52