Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $360.01 / $360.01 / $1,889.59	Facility		$360.01	$360.01	$1,889.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $286.14 / $360.01 / $1,889.59	Professional		$286.14	$360.01	$1,889.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $273.38 / $993.60 / $2,078.91	Facility		$273.38	$993.60	$2,078.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $336.18 / $403.13 / $624.05	Professional		$336.18	$403.13	$624.05
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $775.34 / $1,384.54	Facility		$97.00	$775.34	$1,384.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $868.96 / $2,024.11	Professional		$100.00	$868.96	$2,024.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $434.07 / $434.07 / $520.27	Facility		$434.07	$434.07	$520.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.87 / $316.87 / $462.74	Professional		$316.87	$316.87	$462.74
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $350.06 / $420.07 / $720.41	Professional		$350.06	$420.07	$720.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $392.95 / $458.44 / $995.48	Professional		$392.95	$458.44	$995.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,127.33 / $3,124.60 / $3,124.60	Facility		$1,127.33	$3,124.60	$3,124.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,378.23 / $3,378.23 / $4,911.89	Professional		$3,378.23	$3,378.23	$4,911.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,382.80 / $1,382.80 / $1,382.80	Professional		$1,382.80	$1,382.80	$1,382.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $193.05 / $590.59 / $674.54	Facility		$193.05	$590.59	$674.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $316.87 / $434.07 / $623.36	Professional		$316.87	$434.07	$623.36
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,236.11 / $1,236.11 / $1,236.11	Professional		$1,236.11	$1,236.11	$1,236.11
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $350.06 / $523.94 / $525.09	Professional		$350.06	$523.94	$525.09
United Facility/Professional Professional Modifier Low / Median / High Price $281.48 / $326.73 / $633.69	Professional		$281.48	$326.73	$633.69