Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $289.50 / $289.50 / $1,854.26	Facility		$289.50	$289.50	$1,854.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.92 / $289.50 / $1,854.26	Professional		$234.92	$289.50	$1,854.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $219.83 / $905.65 / $2,040.03	Facility		$219.83	$905.65	$2,040.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $282.76 / $294.47 / $524.91	Professional		$282.76	$294.47	$524.91
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $760.87 / $1,358.69	Facility		$97.00	$760.87	$1,358.69
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $852.71 / $1,986.23	Professional		$100.00	$852.71	$1,986.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $300.58 / $365.10 / $365.10	Facility		$300.58	$365.10	$365.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $266.52 / $266.52 / $376.05	Professional		$266.52	$266.52	$376.05
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $222.95 / $267.54 / $706.94	Professional		$222.95	$267.54	$706.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $385.60 / $449.87 / $976.86	Professional		$385.60	$449.87	$976.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,145.77 / $3,052.68 / $3,052.68	Facility		$1,145.77	$3,052.68	$3,052.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,084.82 / $3,084.82 / $4,820.03	Professional		$3,084.82	$3,084.82	$4,820.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,099.96 / $1,099.96 / $1,099.96	Professional		$1,099.96	$1,099.96	$1,099.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $155.24 / $536.76 / $642.66	Facility		$155.24	$536.76	$642.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $266.52 / $365.10 / $537.22	Professional		$266.52	$365.10	$537.22
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,213.01 / $1,213.01 / $1,213.01	Professional		$1,213.01	$1,213.01	$1,213.01
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $222.95 / $379.02 / $514.14	Professional		$222.95	$379.02	$514.14
United Facility/Professional Professional Modifier Low / Median / High Price $228.82 / $289.77 / $648.40	Professional		$228.82	$289.77	$648.40