Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $593.14 / $732.66 / $2,930.40	Professional		$593.14	$732.66	$2,930.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $652.91 / $855.46 / $1,776.34	Professional		$652.91	$855.46	$1,776.34
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $486.98 / $691.17 / $1,578.62	Professional		$486.98	$691.17	$1,578.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $622.23 / $901.52 / $1,866.68	Professional		$622.23	$901.52	$1,866.68
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $210.72 / $852.63 / $1,314.72	Professional		$210.72	$852.63	$1,314.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $643.87 / $925.86 / $1,592.31	Professional		$643.87	$925.86	$1,592.31
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,535.76 / $5,568.88 / $6,458.63	Professional		$4,535.76	$5,568.88	$6,458.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $632.39 / $959.27 / $1,948.26	Professional		$632.39	$959.27	$1,948.26
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,091.92 / $2,091.92 / $2,604.04	Professional		$2,091.92	$2,091.92	$2,604.04
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $295.01 / $704.88 / $1,082.59	Professional		$295.01	$704.88	$1,082.59
United Facility/Professional Professional Modifier Low / Median / High Price $599.40 / $777.00 / $1,822.68	Professional		$599.40	$777.00	$1,822.68