Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $285.00 / $1,390.80 / $2,729.35	Facility		$285.00	$1,390.80	$2,729.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.10 / $285.00 / $357.20	Professional		$207.10	$285.00	$357.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $407.28 / $760.00 / $1,892.02	Facility		$407.28	$760.00	$1,892.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,235.00 / $1,495.68 / $2,268.44	Professional		$1,235.00	$1,495.68	$2,268.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $501.60 / $3,408.60	Facility		$59.40	$501.60	$3,408.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $172.90 / $247.00 / $620.92	Professional		$172.90	$247.00	$620.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $258.30 / $637.26 / $1,272.05	Facility		$258.30	$637.26	$1,272.05
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $380.00 / $456.00 / $608.00	Professional		$380.00	$456.00	$608.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $342.00 / $437.00 / $828.40	Professional		$342.00	$437.00	$828.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $661.20 / $1,805.00 / $1,805.00	Facility		$661.20	$1,805.00	$1,805.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,900.00 / $1,900.00 / $2,850.00	Professional		$1,900.00	$1,900.00	$2,850.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $304.00 / $456.00 / $1,008.25	Facility		$304.00	$456.00	$1,008.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $380.00 / $418.00 / $570.00	Professional		$380.00	$418.00	$570.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $380.00 / $380.00 / $380.00	Professional		$380.00	$380.00	$380.00
United Facility/Professional Professional Modifier Low / Median / High Price $159.60 / $166.05 / $844.74	Professional		$159.60	$166.05	$844.74