Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $326.89 / $326.89 / $1,715.74	Facility		$326.89	$326.89	$1,715.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $259.83 / $326.89 / $1,715.74	Professional		$259.83	$326.89	$1,715.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $262.50 / $911.63 / $1,887.66	Facility		$262.50	$911.63	$1,887.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $305.26 / $350.00 / $566.62	Professional		$305.26	$350.00	$566.62
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $704.03 / $1,257.19	Facility		$97.00	$704.03	$1,257.19
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $789.02 / $1,837.88	Professional		$100.00	$789.02	$1,837.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $278.14 / $401.27 / $401.27	Facility		$278.14	$401.27	$401.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.93 / $292.93 / $427.77	Professional		$292.93	$292.93	$427.77
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $317.87 / $381.44 / $654.14	Professional		$317.87	$381.44	$654.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $356.80 / $416.27 / $903.90	Professional		$356.80	$416.27	$903.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,023.57 / $2,837.20 / $2,837.20	Facility		$1,023.57	$2,837.20	$2,837.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,067.43 / $3,067.43 / $4,460.03	Professional		$3,067.43	$3,067.43	$4,460.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,255.70 / $1,255.70 / $1,255.70	Professional		$1,255.70	$1,255.70	$1,255.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $175.30 / $520.71 / $612.54	Facility		$175.30	$520.71	$612.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $292.93 / $401.27 / $566.01	Professional		$292.93	$401.27	$566.01
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,122.40 / $1,122.40 / $1,122.40	Professional		$1,122.40	$1,122.40	$1,122.40
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $317.87 / $475.74 / $476.81	Professional		$317.87	$475.74	$476.81
United Facility/Professional Professional Modifier Low / Median / High Price $255.60 / $294.02 / $575.39	Professional		$255.60	$294.02	$575.39