Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.52 / $323.52 / $1,907.98	Facility		$323.52	$323.52	$1,907.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.97 / $323.52 / $1,907.98	Professional		$240.97	$323.52	$1,907.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $245.67 / $954.52 / $2,099.16	Facility		$245.67	$954.52	$2,099.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.52 / $327.56 / $616.36	Professional		$323.52	$327.56	$616.36
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $782.92 / $1,398.07	Facility		$97.00	$782.92	$1,398.07
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $877.43 / $2,043.80	Professional		$100.00	$877.43	$2,043.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.30 / $393.88 / $393.88	Facility		$309.30	$393.88	$393.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $287.52 / $287.52 / $768.38	Professional		$287.52	$287.52	$768.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $170.79 / $204.95 / $727.43	Professional		$170.79	$204.95	$727.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $396.78 / $462.91 / $1,005.18	Professional		$396.78	$462.91	$1,005.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,345.38 / $3,141.18 / $3,141.18	Facility		$1,345.38	$3,141.18	$3,141.18
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,174.24 / $3,174.24 / $4,080.98	Professional		$3,174.24	$3,174.24	$4,080.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,272.72 / $1,272.72 / $1,272.72	Professional		$1,272.72	$1,272.72	$1,272.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $173.49 / $574.14 / $670.23	Facility		$173.49	$574.14	$670.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $287.52 / $287.52 / $629.42	Professional		$287.52	$287.52	$629.42
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,248.15 / $1,248.15 / $1,248.15	Professional		$1,248.15	$1,248.15	$1,248.15
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $170.79 / $290.33 / $529.04	Professional		$170.79	$290.33	$529.04
United Facility/Professional Professional Modifier Low / Median / High Price $257.51 / $323.83 / $884.76	Professional		$257.51	$323.83	$884.76