Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $393.08 / $393.08 / $1,888.30	Facility		$393.08	$393.08	$1,888.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.87 / $393.08 / $1,888.30	Professional		$292.87	$393.08	$1,888.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $298.50 / $1,003.30 / $2,077.48	Facility		$298.50	$1,003.30	$2,077.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $375.17 / $393.90 / $696.42	Professional		$375.17	$393.90	$696.42
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $774.84 / $1,383.64	Facility		$97.00	$774.84	$1,383.64
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $868.38 / $2,022.73	Professional		$100.00	$868.38	$2,022.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $306.11 / $484.42 / $484.42	Facility		$306.11	$484.42	$484.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $353.63 / $353.63 / $516.41	Professional		$353.63	$353.63	$516.41
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $164.63 / $197.56 / $719.92	Professional		$164.63	$197.56	$719.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $392.68 / $458.13 / $994.79	Professional		$392.68	$458.13	$994.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,258.05 / $3,319.62 / $3,319.62	Facility		$1,258.05	$3,319.62	$3,319.62
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,319.52 / $4,319.52 / $4,908.53	Professional		$4,319.52	$4,319.52	$4,908.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,788.89 / $1,788.89 / $1,788.89	Professional		$1,788.89	$1,788.89	$1,788.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $210.79 / $578.61 / $687.19	Facility		$210.79	$578.61	$687.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $353.63 / $484.42 / $654.47	Professional		$353.63	$484.42	$654.47
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,235.28 / $1,235.28 / $1,235.28	Professional		$1,235.28	$1,235.28	$1,235.28
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $164.63 / $279.87 / $523.58	Professional		$164.63	$279.87	$523.58
United Facility/Professional Professional Modifier Low / Median / High Price $301.88 / $332.24 / $654.47	Professional		$301.88	$332.24	$654.47