Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $394.97 / $394.97 / $1,897.40	Facility		$394.97	$394.97	$1,897.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $303.04 / $394.97 / $1,897.40	Professional		$303.04	$394.97	$1,897.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $299.99 / $1,008.13 / $2,087.48	Facility		$299.99	$1,008.13	$2,087.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $373.39 / $401.80 / $693.12	Professional		$373.39	$401.80	$693.12
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $778.56 / $1,390.29	Facility		$97.00	$778.56	$1,390.29
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $872.55 / $2,032.45	Professional		$100.00	$872.55	$2,032.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $307.58 / $410.92 / $410.92	Facility		$307.58	$410.92	$410.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $299.97 / $299.97 / $438.06	Professional		$299.97	$299.97	$438.06
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $207.11 / $248.53 / $723.38	Professional		$207.11	$248.53	$723.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $394.57 / $460.33 / $999.58	Professional		$394.57	$460.33	$999.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,315.25 / $3,432.45 / $3,432.45	Facility		$1,315.25	$3,432.45	$3,432.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,241.91 / $4,241.91 / $5,222.70	Professional		$4,241.91	$4,241.91	$5,222.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,750.00 / $1,750.00 / $1,750.00	Professional		$1,750.00	$1,750.00	$1,750.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $211.80 / $591.86 / $690.50	Facility		$211.80	$591.86	$690.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $299.97 / $410.92 / $657.62	Professional		$299.97	$410.92	$657.62
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,241.23 / $1,241.23 / $1,241.23	Professional		$1,241.23	$1,241.23	$1,241.23
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $207.11 / $352.09 / $526.10	Professional		$207.11	$352.09	$526.10
United Facility/Professional Professional Modifier Low / Median / High Price $303.33 / $333.83 / $663.49	Professional		$303.33	$333.83	$663.49