Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.62 / $446.62 / $2,145.54	Facility		$446.62	$446.62	$2,145.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $332.67 / $446.62 / $2,145.54	Professional		$332.67	$446.62	$2,145.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $339.16 / $1,139.98 / $2,360.50	Facility		$339.16	$1,139.98	$2,360.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $410.79 / $454.30 / $762.53	Professional		$410.79	$454.30	$762.53
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $880.39 / $1,572.12	Facility		$97.00	$880.39	$1,572.12
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $986.67 / $2,298.28	Professional		$100.00	$986.67	$2,298.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $347.81 / $530.41 / $530.41	Facility		$347.81	$530.41	$530.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $387.20 / $387.20 / $950.63	Professional		$387.20	$387.20	$950.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $134.47 / $161.38 / $817.99	Professional		$134.47	$161.38	$817.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $446.18 / $520.54 / $1,130.32	Professional		$446.18	$520.54	$1,130.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,664.44 / $3,966.04 / $3,966.04	Facility		$1,664.44	$3,966.04	$3,966.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,937.72 / $4,937.72 / $6,655.88	Professional		$4,937.72	$4,937.72	$6,655.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,572.26 / $1,572.26 / $1,572.26	Professional		$1,572.26	$1,572.26	$1,572.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $239.50 / $657.43 / $780.81	Facility		$239.50	$657.43	$780.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $387.20 / $387.20 / $943.73	Professional		$387.20	$387.20	$943.73
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,403.56 / $1,403.56 / $1,403.56	Professional		$1,403.56	$1,403.56	$1,403.56
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $134.47 / $228.62 / $594.90	Professional		$134.47	$228.62	$594.90
United Facility/Professional Professional Modifier Low / Median / High Price $343.01 / $377.49 / $719.53	Professional		$343.01	$377.49	$719.53