Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $3,311.31 / $6,456.54	Facility		$1,230.27	$3,311.31	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $575.44 / $3,801.89	Professional		$426.58	$575.44	$3,801.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $1,348.96 / $2,884.03	Facility		$331.13	$1,348.96	$2,884.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $478.63 / $1,318.26	Professional		$288.40	$478.63	$1,318.26
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $1,621.81 / $7,762.47	Facility		$69.18	$1,621.81	$7,762.47
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $660.69 / $1,659.59	Professional		$457.09	$660.69	$1,659.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $977.24 / $2,137.96	Facility		$389.05	$977.24	$2,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $575.44 / $1,023.29	Professional		$346.74	$575.44	$1,023.29
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $575.44 / $691.83	Professional		$100.00	$575.44	$691.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $575.44 / $1,288.25	Professional		$467.74	$575.44	$1,288.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Facility		$2,754.23	$2,754.23	$2,754.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $575.44 / $575.44	Professional		$288.40	$575.44	$575.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $691.83 / $1,698.24	Facility		$467.74	$691.83	$1,698.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $537.03 / $1,548.82	Professional		$346.74	$537.03	$1,548.82
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Professional		$2,041.74	$2,041.74	$2,041.74
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $588.84 / $977.24	Professional		$467.74	$588.84	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $346.74 / $575.44	Facility		$263.03	$346.74	$575.44
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $346.74 / $1,148.15	Professional		$245.47	$346.74	$1,148.15