Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $355.43 / $355.43 / $2,276.60	Facility		$355.43	$355.43	$2,276.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $264.74 / $355.43 / $2,276.60	Professional		$264.74	$355.43	$2,276.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $269.91 / $1,111.92 / $2,504.65	Facility		$269.91	$1,111.92	$2,504.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $333.73 / $359.88 / $619.47	Professional		$333.73	$359.88	$619.47
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $934.16 / $1,668.15	Facility		$97.00	$934.16	$1,668.15
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,046.92 / $2,438.65	Professional		$100.00	$1,046.92	$2,438.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $369.05 / $400.78 / $421.78	Facility		$369.05	$400.78	$421.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.57 / $292.57 / $427.25	Professional		$292.57	$292.57	$427.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $369.53 / $443.44 / $867.94	Professional		$369.53	$443.44	$867.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $473.42 / $552.33 / $1,199.33	Professional		$473.42	$552.33	$1,199.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,352.18 / $3,128.35 / $3,747.94	Facility		$1,352.18	$3,128.35	$3,747.94
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,372.97 / $4,477.91 / $4,477.91	Professional		$4,372.97	$4,477.91	$4,477.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,617.53 / $1,617.53 / $1,617.53	Professional		$1,617.53	$1,617.53	$1,617.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $190.60 / $681.93 / $800.52	Facility		$190.60	$681.93	$800.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $292.57 / $400.78 / $629.86	Professional		$292.57	$400.78	$629.86
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,489.30 / $1,489.30 / $1,489.30	Professional		$1,489.30	$1,489.30	$1,489.30
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $369.53 / $628.20 / $631.23	Professional		$369.53	$628.20	$631.23
United Facility/Professional Professional Modifier Low / Median / High Price $280.94 / $355.79 / $831.84	Professional		$280.94	$355.79	$831.84