Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $374.53 / $374.53 / $1,902.18	Facility		$374.53	$374.53	$1,902.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $296.77 / $374.53 / $1,902.18	Professional		$296.77	$374.53	$1,902.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $284.41 / $1,010.68 / $2,092.75	Facility		$284.41	$1,010.68	$2,092.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $304.20 / $461.60 / $642.28	Professional		$304.20	$461.60	$642.28
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $780.53 / $1,393.81	Facility		$97.00	$780.53	$1,393.81
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $874.75 / $2,037.61	Professional		$100.00	$874.75	$2,037.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $308.36 / $389.66 / $389.66	Facility		$308.36	$389.66	$389.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $284.45 / $284.45 / $415.39	Professional		$284.45	$284.45	$415.39
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $317.63 / $381.16 / $725.21	Professional		$317.63	$381.16	$725.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $395.57 / $461.50 / $1,002.11	Professional		$395.57	$461.50	$1,002.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,247.19 / $3,225.13 / $3,225.13	Facility		$1,247.19	$3,225.13	$3,225.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,687.45 / $3,687.45 / $4,676.93	Professional		$3,687.45	$3,687.45	$4,676.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,425.32 / $1,425.32 / $1,425.32	Professional		$1,425.32	$1,425.32	$1,425.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $200.84 / $582.87 / $692.24	Facility		$200.84	$582.87	$692.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $284.45 / $389.65 / $659.28	Professional		$284.45	$389.65	$659.28
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,244.35 / $1,244.35 / $1,244.35	Professional		$1,244.35	$1,244.35	$1,244.35
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $317.63 / $527.41 / $527.41	Professional		$317.63	$527.41	$527.41
United Facility/Professional Professional Modifier Low / Median / High Price $296.05 / $328.91 / $854.50	Professional		$296.05	$328.91	$854.50