Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $322.29 / $322.29 / $2,064.30	Facility		$322.29	$322.29	$2,064.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $244.33 / $322.29 / $2,064.30	Professional		$244.33	$322.29	$2,064.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.74 / $1,008.24 / $2,271.12	Facility		$244.74	$1,008.24	$2,271.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $261.77 / $326.32 / $594.90	Professional		$261.77	$326.32	$594.90
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $847.06 / $1,512.61	Facility		$97.00	$847.06	$1,512.61
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $949.31 / $2,211.26	Professional		$100.00	$949.31	$2,211.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $334.41 / $347.13 / $382.45	Facility		$334.41	$347.13	$382.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.40 / $253.40 / $370.06	Professional		$253.40	$253.40	$370.06
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $257.60 / $309.12 / $787.02	Professional		$257.60	$309.12	$787.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $429.28 / $500.83 / $1,087.51	Professional		$429.28	$500.83	$1,087.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,273.15 / $3,398.48 / $3,398.48	Facility		$1,273.15	$3,398.48	$3,398.48
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,865.13 / $4,981.91 / $4,981.91	Professional		$4,865.13	$4,981.91	$4,981.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,466.71 / $1,466.71 / $1,466.71	Professional		$1,466.71	$1,466.71	$1,466.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $172.83 / $621.48 / $725.87	Facility		$172.83	$621.48	$725.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $253.40 / $347.13 / $539.82	Professional		$253.40	$347.13	$539.82
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,350.42 / $1,350.42 / $1,350.42	Professional		$1,350.42	$1,350.42	$1,350.42
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $257.60 / $437.92 / $572.38	Professional		$257.60	$437.92	$572.38
United Facility/Professional Professional Modifier Low / Median / High Price $243.07 / $267.70 / $692.29	Professional		$243.07	$267.70	$692.29