Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $286.07 / $286.07 / $1,832.33	Facility		$286.07	$286.07	$1,832.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $235.13 / $286.07 / $1,832.33	Professional		$235.13	$286.07	$1,832.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $217.24 / $894.94 / $2,015.90	Facility		$217.24	$894.94	$2,015.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $266.73 / $289.64 / $508.49	Professional		$266.73	$289.64	$508.49
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $751.87 / $1,342.63	Facility		$97.00	$751.87	$1,342.63
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $842.63 / $1,962.79	Professional		$100.00	$842.63	$1,962.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $296.83 / $297.62 / $339.47	Facility		$296.83	$297.62	$339.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.26 / $217.26 / $317.27	Professional		$217.26	$217.26	$317.27
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $242.50 / $291.00 / $698.58	Professional		$242.50	$291.00	$698.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $381.04 / $444.55 / $965.31	Professional		$381.04	$444.55	$965.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,109.92 / $2,544.94 / $3,016.58	Facility		$1,109.92	$2,544.94	$3,016.58
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,633.98 / $3,721.19 / $3,721.19	Professional		$3,633.98	$3,721.19	$3,721.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,038.65 / $1,038.65 / $1,038.65	Professional		$1,038.65	$1,038.65	$1,038.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $153.41 / $526.07 / $643.65	Facility		$153.41	$526.07	$643.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $217.26 / $297.62 / $571.84	Professional		$217.26	$297.62	$571.84
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,198.67 / $1,198.67 / $1,198.67	Professional		$1,198.67	$1,198.67	$1,198.67
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $242.50 / $412.25 / $508.06	Professional		$242.50	$412.25	$508.06
United Facility/Professional Professional Modifier Low / Median / High Price $215.76 / $238.01 / $614.49	Professional		$215.76	$238.01	$614.49