Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $336.32 / $336.32 / $1,765.15	Facility		$336.32	$336.32	$1,765.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $267.31 / $336.32 / $1,765.15	Professional		$267.31	$336.32	$1,765.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $255.39 / $928.21 / $1,942.04	Facility		$255.39	$928.21	$1,942.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $314.06 / $340.52 / $582.97	Professional		$314.06	$340.52	$582.97
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $724.31 / $1,293.41	Facility		$97.00	$724.31	$1,293.41
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $811.75 / $1,890.82	Professional		$100.00	$811.75	$1,890.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $286.14 / $405.51 / $405.51	Facility		$286.14	$405.51	$405.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $296.02 / $296.02 / $432.29	Professional		$296.02	$296.02	$432.29
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $327.02 / $392.44 / $672.98	Professional		$327.02	$392.44	$672.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $367.08 / $428.26 / $929.94	Professional		$367.08	$428.26	$929.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,053.10 / $2,919.01 / $2,919.01	Facility		$1,053.10	$2,919.01	$2,919.01
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,156.12 / $3,156.12 / $4,588.50	Professional		$3,156.12	$3,156.12	$4,588.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,291.88 / $1,291.88 / $1,291.88	Professional		$1,291.88	$1,291.88	$1,291.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $180.36 / $535.71 / $630.19	Facility		$180.36	$535.71	$630.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $296.02 / $405.51 / $582.32	Professional		$296.02	$405.51	$582.32
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,154.72 / $1,154.72 / $1,154.72	Professional		$1,154.72	$1,154.72	$1,154.72
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $327.02 / $489.44 / $490.55	Professional		$327.02	$489.44	$490.55
United Facility/Professional Professional Modifier Low / Median / High Price $265.83 / $314.41 / $836.23	Professional		$265.83	$314.41	$836.23