Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $341.62 / $341.62 / $2,188.15	Facility		$341.62	$341.62	$2,188.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.52 / $341.62 / $2,188.15	Professional		$281.52	$341.62	$2,188.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $259.42 / $1,068.72 / $2,407.36	Facility		$259.42	$1,068.72	$2,407.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.43 / $346.43 / $687.02	Professional		$346.43	$346.43	$687.02
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $897.88 / $1,603.36	Facility		$97.00	$897.88	$1,603.36
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,006.26 / $2,343.91	Professional		$100.00	$1,006.26	$2,343.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.72 / $477.88 / $477.88	Facility		$354.72	$477.88	$477.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $348.85 / $348.85 / $856.50	Professional		$348.85	$348.85	$856.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $313.41 / $376.09 / $834.23	Professional		$313.41	$376.09	$834.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $455.03 / $530.87 / $1,152.75	Professional		$455.03	$530.87	$1,152.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,499.62 / $3,602.35 / $3,602.35	Facility		$1,499.62	$3,602.35	$3,602.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,708.18 / $3,797.19 / $5,687.93	Professional		$3,708.18	$3,797.19	$5,687.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,520.91 / $1,520.91 / $1,520.91	Professional		$1,520.91	$1,520.91	$1,520.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $183.20 / $658.76 / $758.39	Facility		$183.20	$658.76	$758.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $348.85 / $348.85 / $721.85	Professional		$348.85	$348.85	$721.85
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,431.43 / $1,431.43 / $1,431.43	Professional		$1,431.43	$1,431.43	$1,431.43
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $313.41 / $532.79 / $606.71	Professional		$313.41	$532.79	$606.71
United Facility/Professional Professional Modifier Low / Median / High Price $257.66 / $283.76 / $719.76	Professional		$257.66	$283.76	$719.76