Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $364.72 / $364.72 / $1,902.08	Facility		$364.72	$364.72	$1,902.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $297.29 / $364.72 / $1,902.08	Professional		$297.29	$364.72	$1,902.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $276.95 / $1,006.61 / $2,092.63	Facility		$276.95	$1,006.61	$2,092.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.42 / $405.82 / $628.16	Professional		$338.42	$405.82	$628.16
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $780.49 / $1,393.73	Facility		$97.00	$780.49	$1,393.73
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $874.71 / $2,037.50	Professional		$100.00	$874.71	$2,037.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $308.35 / $436.96 / $436.96	Facility		$308.35	$436.96	$436.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $318.98 / $318.98 / $450.07	Professional		$318.98	$318.98	$450.07
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $244.46 / $293.35 / $725.16	Professional		$244.46	$293.35	$725.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $395.54 / $461.47 / $1,002.04	Professional		$395.54	$461.47	$1,002.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,134.76 / $3,169.20 / $3,169.20	Facility		$1,134.76	$3,169.20	$3,169.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,390.18 / $3,390.18 / $5,043.68	Professional		$3,390.18	$3,390.18	$5,043.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,391.99 / $1,391.99 / $1,391.99	Professional		$1,391.99	$1,391.99	$1,391.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $195.58 / $577.26 / $679.02	Facility		$195.58	$577.26	$679.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $318.98 / $436.96 / $627.48	Professional		$318.98	$436.96	$627.48
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,244.30 / $1,244.30 / $1,244.30	Professional		$1,244.30	$1,244.30	$1,244.30
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $244.46 / $415.58 / $527.39	Professional		$244.46	$415.58	$527.39
United Facility/Professional Professional Modifier Low / Median / High Price $285.17 / $325.95 / $659.24	Professional		$285.17	$325.95	$659.24