Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $310.62 / $310.62 / $1,989.59	Facility		$310.62	$310.62	$1,989.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $246.13 / $310.62 / $1,989.59	Professional		$246.13	$310.62	$1,989.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $235.88 / $971.74 / $2,188.90	Facility		$235.88	$971.74	$2,188.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $259.11 / $315.95 / $480.98	Professional		$259.11	$315.95	$480.98
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $816.38 / $1,457.83	Facility		$97.00	$816.38	$1,457.83
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $914.94 / $2,131.19	Professional		$100.00	$914.94	$2,131.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $322.52 / $364.44 / $368.60	Facility		$322.52	$364.44	$368.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $266.04 / $266.04 / $388.52	Professional		$266.04	$266.04	$388.52
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $289.00 / $346.80 / $758.53	Professional		$289.00	$346.80	$758.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $413.74 / $482.70 / $1,048.15	Professional		$413.74	$482.70	$1,048.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,049.88 / $2,756.24 / $3,275.46	Facility		$1,049.88	$2,756.24	$3,275.46
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,923.06 / $4,017.20 / $4,433.25	Professional		$3,923.06	$4,017.20	$4,433.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,397.95 / $1,397.95 / $1,397.95	Professional		$1,397.95	$1,397.95	$1,397.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $166.57 / $598.98 / $699.60	Facility		$166.57	$598.98	$699.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $266.04 / $364.44 / $631.72	Professional		$266.04	$364.44	$631.72
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,301.54 / $1,301.54 / $1,301.54	Professional		$1,301.54	$1,301.54	$1,301.54
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $289.00 / $491.30 / $551.66	Professional		$289.00	$491.30	$551.66
United Facility/Professional Professional Modifier Low / Median / High Price $245.53 / $262.54 / $667.23	Professional		$245.53	$262.54	$667.23