Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $261.22 / $261.22 / $1,673.20	Facility		$261.22	$261.22	$1,673.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.57 / $261.22 / $1,673.20	Professional		$194.57	$261.22	$1,673.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $198.37 / $817.21 / $1,840.81	Facility		$198.37	$817.21	$1,840.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $212.18 / $263.39 / $404.49	Professional		$212.18	$263.39	$404.49
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $686.56 / $1,226.01	Facility		$97.00	$686.56	$1,226.01
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $769.45 / $1,792.29	Professional		$100.00	$769.45	$1,792.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $271.24 / $271.77 / $309.98	Facility		$271.24	$271.77	$309.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.39 / $198.39 / $289.72	Professional		$198.39	$198.39	$289.72
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $203.01 / $243.61 / $637.90	Professional		$203.01	$243.61	$637.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $347.95 / $405.94 / $881.46	Professional		$347.95	$405.94	$881.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $882.93 / $2,754.57 / $2,754.57	Facility		$882.93	$2,754.57	$2,754.57
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,803.83 / $2,803.83 / $3,262.05	Professional		$2,803.83	$2,803.83	$3,262.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,161.18 / $1,161.18 / $1,161.18	Professional		$1,161.18	$1,161.18	$1,161.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $140.08 / $501.18 / $579.91	Facility		$140.08	$501.18	$579.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $198.39 / $271.77 / $492.92	Professional		$198.39	$271.77	$492.92
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,094.57 / $1,094.57 / $1,094.57	Professional		$1,094.57	$1,094.57	$1,094.57
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $203.01 / $345.12 / $463.93	Professional		$203.01	$345.12	$463.93
United Facility/Professional Professional Modifier Low / Median / High Price $204.25 / $261.49 / $585.09	Professional		$204.25	$261.49	$585.09