Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $381.88 / $381.88 / $2,188.63	Facility		$381.88	$381.88	$2,188.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $293.60 / $381.88 / $2,188.63	Professional		$293.60	$381.88	$2,188.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $290.00 / $1,094.91 / $2,407.90	Facility		$290.00	$1,094.91	$2,407.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $383.87 / $411.22 / $712.58	Professional		$383.87	$411.22	$712.58
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $898.05 / $1,603.66	Facility		$97.00	$898.05	$1,603.66
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,006.48 / $2,344.42	Professional		$100.00	$1,006.48	$2,344.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.79 / $528.47 / $528.47	Facility		$354.79	$528.47	$528.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $385.78 / $385.78 / $563.38	Professional		$385.78	$385.78	$563.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $291.55 / $349.86 / $834.42	Professional		$291.55	$349.86	$834.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $455.14 / $530.99 / $1,153.01	Professional		$455.14	$530.99	$1,153.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,555.41 / $3,603.16 / $3,603.16	Facility		$1,555.41	$3,603.16	$3,603.16
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,196.41 / $4,196.41 / $4,906.80	Professional		$4,196.41	$4,196.41	$4,906.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,677.41 / $1,677.41 / $1,677.41	Professional		$1,677.41	$1,677.41	$1,677.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $204.78 / $666.95 / $796.49	Facility		$204.78	$666.95	$796.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $385.78 / $528.47 / $758.56	Professional		$385.78	$528.47	$758.56
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,431.75 / $1,431.75 / $1,431.75	Professional		$1,431.75	$1,431.75	$1,431.75
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $291.55 / $495.64 / $606.85	Professional		$291.55	$495.64	$606.85
United Facility/Professional Professional Modifier Low / Median / High Price $298.58 / $378.44 / $720.61	Professional		$298.58	$378.44	$720.61