Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $314.02 / $314.02 / $2,011.42	Facility		$314.02	$314.02	$2,011.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $254.90 / $314.02 / $2,011.42	Professional		$254.90	$314.02	$2,011.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $238.47 / $982.42 / $2,212.96	Facility		$238.47	$982.42	$2,212.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $255.07 / $319.93 / $563.92	Professional		$255.07	$319.93	$563.92
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $825.35 / $1,473.84	Facility		$97.00	$825.35	$1,473.84
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $924.99 / $2,154.61	Professional		$100.00	$924.99	$2,154.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $325.85 / $373.35 / $373.35	Facility		$325.85	$373.35	$373.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.55 / $272.55 / $384.55	Professional		$272.55	$272.55	$384.55
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $308.61 / $370.33 / $766.87	Professional		$308.61	$370.33	$766.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $418.29 / $488.01 / $1,059.67	Professional		$418.29	$488.01	$1,059.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,061.41 / $2,832.34 / $3,311.46	Facility		$1,061.41	$2,832.34	$3,311.46
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,651.93 / $3,739.59 / $4,499.33	Professional		$3,651.93	$3,739.59	$4,499.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,071.86 / $1,071.86 / $1,071.86	Professional		$1,071.86	$1,071.86	$1,071.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $168.40 / $558.97 / $705.90	Facility		$168.40	$558.97	$705.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $272.55 / $373.35 / $592.58	Professional		$272.55	$373.35	$592.58
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,315.82 / $1,315.82 / $1,315.82	Professional		$1,315.82	$1,315.82	$1,315.82
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $308.61 / $524.64 / $557.72	Professional		$308.61	$524.64	$557.72
United Facility/Professional Professional Modifier Low / Median / High Price $236.85 / $260.85 / $628.53	Professional		$236.85	$260.85	$628.53