Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $435.46 / $435.46 / $2,285.62	Facility		$435.46	$435.46	$2,285.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.11 / $435.46 / $2,285.62	Professional		$346.11	$435.46	$2,285.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $330.68 / $1,201.85 / $2,514.62	Facility		$330.68	$1,201.85	$2,514.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $365.96 / $440.91 / $754.81	Professional		$365.96	$440.91	$754.81
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $98.20 / $937.86 / $1,674.75	Facility		$98.20	$937.86	$1,674.75
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,051.08 / $2,448.34	Professional		$100.00	$1,051.08	$2,448.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $525.23 / $525.23 / $629.30	Facility		$525.23	$525.23	$629.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $383.42 / $383.42 / $559.92	Professional		$383.42	$383.42	$559.92
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $476.26 / $571.51 / $871.40	Professional		$476.26	$571.51	$871.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $475.31 / $554.53 / $1,204.10	Professional		$475.31	$554.53	$1,204.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,363.52 / $3,779.52 / $3,779.52	Facility		$1,363.52	$3,779.52	$3,779.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,086.44 / $4,086.44 / $5,941.20	Professional		$4,086.44	$4,086.44	$5,941.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,672.69 / $1,672.69 / $1,672.69	Professional		$1,672.69	$1,672.69	$1,672.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $245.20 / $754.01 / $815.95	Facility		$245.20	$754.01	$815.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $383.42 / $525.23 / $754.01	Professional		$383.42	$525.23	$754.01
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,495.20 / $1,495.20 / $1,495.20	Professional		$1,495.20	$1,495.20	$1,495.20
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $476.26 / $633.74 / $712.96	Professional		$476.26	$633.74	$712.96
United Facility/Professional Professional Modifier Low / Median / High Price $340.48 / $403.11 / $799.24	Professional		$340.48	$403.11	$799.24