Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $312.74 / $312.74 / $1,641.41	Facility		$312.74	$312.74	$1,641.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.57 / $312.74 / $1,588.70	Professional		$248.57	$312.74	$1,588.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $237.49 / $863.16 / $1,805.86	Facility		$237.49	$863.16	$1,805.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $250.55 / $316.64 / $542.08	Professional		$250.55	$316.64	$542.08
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $673.52 / $1,202.71	Facility		$97.00	$673.52	$1,202.71
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $754.84 / $1,758.28	Professional		$100.00	$754.84	$1,758.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $325.37 / $325.37 / $451.94	Facility		$325.37	$325.37	$451.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.52 / $237.52 / $467.69	Professional		$237.52	$237.52	$467.69
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $317.18 / $380.62 / $625.79	Professional		$317.18	$380.62	$625.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $341.34 / $398.23 / $864.73	Professional		$341.34	$398.23	$864.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $915.71 / $2,714.31 / $2,714.31	Facility		$915.71	$2,714.31	$2,714.31
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,934.66 / $2,934.66 / $4,266.75	Professional		$2,934.66	$2,934.66	$4,266.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,201.30 / $1,201.30 / $1,201.30	Professional		$1,201.30	$1,201.30	$1,201.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $167.71 / $512.01 / $586.00	Facility		$167.71	$512.01	$586.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $237.52 / $325.37 / $519.99	Professional		$237.52	$325.37	$519.99
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,073.77 / $1,073.77 / $1,073.77	Professional		$1,073.77	$1,073.77	$1,073.77
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $317.18 / $455.12 / $475.77	Professional		$317.18	$455.12	$475.77
United Facility/Professional Professional Modifier Low / Median / High Price $235.87 / $259.77 / $539.91	Professional		$235.87	$259.77	$539.91