Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $358.57 / $358.57 / $2,296.71	Facility		$358.57	$358.57	$2,296.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $260.85 / $358.57 / $2,296.71	Professional		$260.85	$358.57	$2,296.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $272.33 / $1,121.77 / $2,526.84	Facility		$272.33	$1,121.77	$2,526.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $299.10 / $412.43 / $573.86	Professional		$299.10	$412.43	$573.86
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $942.40 / $1,682.86	Facility		$97.00	$942.40	$1,682.86
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,056.19 / $2,460.21	Professional		$100.00	$1,056.19	$2,460.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $386.20 / $386.20 / $757.37	Facility		$386.20	$386.20	$757.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.93 / $281.93 / $692.25	Professional		$281.93	$281.93	$692.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $425.50 / $510.60 / $875.63	Professional		$425.50	$510.60	$875.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $477.62 / $557.22 / $1,209.97	Professional		$477.62	$557.22	$1,209.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,218.09 / $3,318.92 / $3,781.14	Facility		$1,218.09	$3,318.92	$3,781.14
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,654.76 / $4,766.49 / $4,766.49	Professional		$4,654.76	$4,766.49	$4,766.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,414.66 / $1,414.66 / $1,414.66	Professional		$1,414.66	$1,414.66	$1,414.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $192.28 / $703.74 / $806.77	Facility		$192.28	$703.74	$806.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $281.93 / $281.93 / $757.67	Professional		$281.93	$281.93	$757.67
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,502.46 / $1,502.46 / $1,502.46	Professional		$1,502.46	$1,502.46	$1,502.46
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $425.50 / $636.82 / $638.25	Professional		$425.50	$636.82	$638.25
United Facility/Professional Professional Modifier Low / Median / High Price $280.36 / $349.82 / $796.03	Professional		$280.36	$349.82	$796.03