Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $386.94 / $386.94 / $2,125.23	Facility		$386.94	$386.94	$2,125.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.91 / $386.94 / $2,125.23	Professional		$338.91	$386.94	$2,125.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $293.83 / $1,067.93 / $2,338.13	Facility		$293.83	$1,067.93	$2,338.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $391.77 / $391.77 / $789.57	Professional		$391.77	$391.77	$789.57
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $872.04 / $1,557.22	Facility		$97.00	$872.04	$1,557.22
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $977.32 / $2,276.51	Professional		$100.00	$977.32	$2,276.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $344.51 / $402.56 / $402.56	Facility		$344.51	$402.56	$402.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $293.87 / $293.87 / $414.64	Professional		$293.87	$293.87	$414.64
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $280.00 / $336.00 / $810.24	Professional		$280.00	$336.00	$810.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $441.95 / $515.61 / $1,119.59	Professional		$441.95	$515.61	$1,119.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,426.32 / $3,601.96 / $3,601.96	Facility		$1,426.32	$3,601.96	$3,601.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,252.00 / $4,252.00 / $6,442.43	Professional		$4,252.00	$4,252.00	$6,442.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,760.92 / $1,760.92 / $1,760.92	Professional		$1,760.92	$1,760.92	$1,760.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $207.50 / $645.54 / $773.41	Facility		$207.50	$645.54	$773.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $293.87 / $402.56 / $736.58	Professional		$293.87	$402.56	$736.58
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,390.28 / $1,390.28 / $1,390.28	Professional		$1,390.28	$1,390.28	$1,390.28
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $280.00 / $476.00 / $589.26	Professional		$280.00	$476.00	$589.26
United Facility/Professional Professional Modifier Low / Median / High Price $305.85 / $364.20 / $699.06	Professional		$305.85	$364.20	$699.06