Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $300.27 / $300.27 / $1,576.00	Facility		$300.27	$300.27	$1,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.66 / $300.27 / $1,576.00	Professional		$238.66	$300.27	$1,576.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $228.03 / $828.78 / $1,733.90	Facility		$228.03	$828.78	$1,733.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $280.39 / $305.45 / $520.49	Professional		$280.39	$305.45	$520.49
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $98.20 / $646.69 / $1,154.81	Facility		$98.20	$646.69	$1,154.81
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $724.75 / $1,688.20	Professional		$100.00	$724.75	$1,688.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $255.49 / $362.03 / $362.03	Facility		$255.49	$362.03	$362.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $264.27 / $264.27 / $385.94	Professional		$264.27	$264.27	$385.94
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $207.16 / $248.59 / $600.85	Professional		$207.16	$248.59	$600.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $327.74 / $382.36 / $830.27	Professional		$327.74	$382.36	$830.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $940.25 / $2,615.79 / $2,615.79	Facility		$940.25	$2,615.79	$2,615.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,817.63 / $2,817.63 / $4,096.72	Professional		$2,817.63	$2,817.63	$4,096.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,153.47 / $1,153.47 / $1,153.47	Professional		$1,153.47	$1,153.47	$1,153.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $161.02 / $474.47 / $562.66	Facility		$161.02	$474.47	$562.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $264.27 / $362.03 / $519.91	Professional		$264.27	$362.03	$519.91
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,030.98 / $1,030.98 / $1,030.98	Professional		$1,030.98	$1,030.98	$1,030.98
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $207.16 / $352.17 / $436.98	Professional		$207.16	$352.17	$436.98
United Facility/Professional Professional Modifier Low / Median / High Price $234.57 / $270.08 / $546.23	Professional		$234.57	$270.08	$546.23