Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $365.86 / $365.86 / $1,920.26	Facility		$365.86	$365.86	$1,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $290.79 / $365.86 / $1,920.26	Professional		$290.79	$365.86	$1,920.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $277.83 / $1,009.77 / $2,112.66	Facility		$277.83	$1,009.77	$2,112.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $332.64 / $363.95 / $634.14	Professional		$332.64	$363.95	$634.14
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $787.94 / $1,407.04	Facility		$97.00	$787.94	$1,407.04
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $883.07 / $2,056.96	Professional		$100.00	$883.07	$2,056.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.63 / $380.63 / $528.71	Facility		$380.63	$380.63	$528.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.86 / $277.86 / $392.05	Professional		$277.86	$277.86	$392.05
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $224.25 / $269.10 / $732.11	Professional		$224.25	$269.10	$732.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $224.25 / $465.89 / $998.33	Professional		$224.25	$465.89	$998.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,145.54 / $3,175.29 / $3,175.29	Facility		$1,145.54	$3,175.29	$3,175.29
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,432.91 / $3,432.91 / $4,991.63	Professional		$3,432.91	$3,432.91	$4,991.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,405.31 / $1,405.31 / $1,405.31	Professional		$1,405.31	$1,405.31	$1,405.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $196.19 / $582.78 / $685.52	Facility		$196.19	$582.78	$685.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $277.86 / $380.63 / $633.48	Professional		$277.86	$380.63	$633.48
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,256.19 / $1,256.19 / $1,256.19	Professional		$1,256.19	$1,256.19	$1,256.19
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $224.25 / $381.23 / $532.44	Professional		$224.25	$381.23	$532.44
United Facility/Professional Professional Modifier Low / Median / High Price $280.97 / $303.89 / $671.48	Professional		$280.97	$303.89	$671.48