Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $556.70 / $1,784.27 / $5,331.36	Facility		$556.70	$1,784.27	$5,331.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $404.54 / $616.08 / $630.92	Professional		$404.54	$616.08	$630.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,870.52 / $3,696.50 / $3,770.73	Facility		$1,870.52	$3,696.50	$3,770.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $699.20 / $1,069.34 / $1,892.78	Professional		$699.20	$1,069.34	$1,892.78
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $536.66 / $2,093.19	Facility		$92.60	$536.66	$2,093.19
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $337.74 / $482.48 / $1,212.91	Professional		$337.74	$482.48	$1,212.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $497.07 / $858.81 / $1,876.85	Facility		$497.07	$858.81	$1,876.85
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $742.27 / $890.72 / $1,187.63	Professional		$742.27	$890.72	$1,187.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $668.04 / $853.61 / $1,417.74	Professional		$668.04	$853.61	$1,417.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,291.55 / $3,525.78 / $3,525.78	Facility		$1,291.55	$3,525.78	$3,525.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,711.35 / $3,711.35 / $5,567.03	Professional		$3,711.35	$3,711.35	$5,567.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $593.82 / $890.72 / $1,741.37	Facility		$593.82	$890.72	$1,741.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $742.27 / $816.50 / $1,113.41	Professional		$742.27	$816.50	$1,113.41
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $742.27 / $742.27 / $742.27	Professional		$742.27	$742.27	$742.27
United Facility/Professional Professional Modifier Low / Median / High Price $311.75 / $311.75 / $1,909.86	Professional		$311.75	$311.75	$1,909.86