Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $326.02 / $326.02 / $1,641.41	Facility		$326.02	$326.02	$1,641.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.57 / $326.02 / $1,641.41	Professional		$248.57	$326.02	$1,641.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $374.94 / $908.70 / $2,015.84	Facility		$374.94	$908.70	$2,015.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $273.73 / $325.80 / $542.08	Professional		$273.73	$325.80	$542.08
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $695.99 / $1,242.83	Facility		$97.00	$695.99	$1,242.83
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 / $675.75	Professional		$237.52	$237.52	$675.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $356.20 / $427.44 / $625.79	Professional		$356.20	$427.44	$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 $107.64 / $2,714.31 / $2,714.31	Facility		$107.64	$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 $325.37 / $498.15 / $597.35	Facility		$325.37	$498.15	$597.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $237.52 / $237.52 / $555.57	Professional		$237.52	$237.52	$555.57
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 $356.20 / $455.12 / $512.01	Professional		$356.20	$455.12	$512.01
United Facility/Professional Professional Modifier Low / Median / High Price $247.20 / $281.42 / $777.59	Professional		$247.20	$281.42	$777.59