Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $287.25 / $287.25 / $1,644.88	Facility		$287.25	$287.25	$1,644.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.59 / $287.25 / $1,644.88	Professional		$251.59	$287.25	$1,644.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $218.13 / $822.88 / $1,809.67	Facility		$218.13	$822.88	$1,809.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $289.94 / $290.83 / $574.13	Professional		$289.94	$290.83	$574.13
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $98.20 / $674.94 / $1,205.24	Facility		$98.20	$674.94	$1,205.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $756.43 / $1,761.99	Professional		$100.00	$756.43	$1,761.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $266.64 / $298.85 / $304.74	Facility		$266.64	$298.85	$304.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.16 / $218.16 / $307.82	Professional		$218.16	$218.16	$307.82
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $214.03 / $256.83 / $627.11	Professional		$214.03	$256.83	$627.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $342.06 / $399.07 / $866.55	Professional		$342.06	$399.07	$866.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,253.20 / $2,707.98 / $2,707.98	Facility		$1,253.20	$2,707.98	$2,707.98
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,134.29 / $3,134.29 / $4,782.68	Professional		$3,134.29	$3,134.29	$4,782.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,298.03 / $1,298.03 / $1,298.03	Professional		$1,298.03	$1,298.03	$1,298.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $154.04 / $495.20 / $598.61	Facility		$154.04	$495.20	$598.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $218.16 / $298.85 / $570.10	Professional		$218.16	$298.85	$570.10
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,076.04 / $1,076.04 / $1,076.04	Professional		$1,076.04	$1,076.04	$1,076.04
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $214.03 / $363.85 / $456.08	Professional		$214.03	$363.85	$456.08
United Facility/Professional Professional Modifier Low / Median / High Price $227.05 / $280.24 / $570.40	Professional		$227.05	$280.24	$570.40