Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $294.22 / $294.22 / $1,544.22	Facility		$294.22	$294.22	$1,544.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.12 / $294.22 / $803.40	Professional		$255.12	$294.22	$803.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $223.42 / $812.02 / $1,698.89	Facility		$223.42	$812.02	$1,698.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $267.52 / $295.10 / $510.00	Professional		$267.52	$295.10	$510.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $633.65 / $1,131.51	Facility		$97.00	$633.65	$1,131.51
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $710.13 / $1,654.15	Professional		$100.00	$710.13	$1,654.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $247.61 / $336.03 / $336.03	Facility		$247.61	$336.03	$336.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.30 / $245.30 / $635.63	Professional		$245.30	$245.30	$635.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $286.10 / $343.32 / $588.72	Professional		$286.10	$343.32	$588.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $321.12 / $374.64 / $813.50	Professional		$321.12	$374.64	$813.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $861.44 / $2,563.00 / $2,563.00	Facility		$861.44	$2,563.00	$2,563.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,760.81 / $2,760.81 / $4,014.00	Professional		$2,760.81	$2,760.81	$4,014.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,130.12 / $1,130.12 / $1,130.12	Professional		$1,130.12	$1,130.12	$1,130.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $157.77 / $464.91 / $551.28	Facility		$157.77	$464.91	$551.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $245.30 / $245.30 / $522.66	Professional		$245.30	$245.30	$522.66
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,010.19 / $1,010.19 / $1,010.19	Professional		$1,010.19	$1,010.19	$1,010.19
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $286.10 / $428.16 / $429.15	Professional		$286.10	$428.16	$429.15
United Facility/Professional Professional Modifier Low / Median / High Price $225.96 / $246.88 / $539.99	Professional		$225.96	$246.88	$539.99