Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $744.60 / $1,395.97 / $4,127.10	Facility		$744.60	$1,395.97	$4,127.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $287.83 / $850.00 / $1,069.58	Professional		$287.83	$850.00	$1,069.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $312.00 / $1,152.89 / $3,164.32	Facility		$312.00	$1,152.89	$3,164.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $256.74 / $969.18 / $2,294.96	Professional		$256.74	$969.18	$2,294.96
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $464.06 / $1,810.02	Facility		$92.60	$464.06	$1,810.02
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $130.77 / $186.81 / $1,189.14	Professional		$130.77	$186.81	$1,189.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $413.03 / $1,101.41 / $2,148.58	Facility		$413.03	$1,101.41	$2,148.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.06 / $425.24 / $1,239.54	Professional		$156.06	$425.24	$1,239.54
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $229.69 / $641.85 / $866.50	Professional		$229.69	$641.85	$866.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $577.66 / $738.13 / $1,251.60	Professional		$577.66	$738.13	$1,251.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,116.82 / $3,048.79 / $3,048.79	Facility		$1,116.82	$3,048.79	$3,048.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,209.25 / $3,209.25 / $4,813.88	Professional		$3,209.25	$3,209.25	$4,813.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $770.22 / $770.22 / $770.22	Professional		$770.22	$770.22	$770.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $455.84 / $834.41 / $1,844.44	Facility		$455.84	$834.41	$1,844.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $222.42 / $706.04 / $1,283.70	Professional		$222.42	$706.04	$1,283.70
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,252.89 / $2,252.89 / $2,252.89	Professional		$2,252.89	$2,252.89	$2,252.89
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $234.28 / $390.47 / $641.85	Professional		$234.28	$390.47	$641.85
United Facility/Professional Professional Modifier Low / Median / High Price $120.89 / $269.58 / $1,417.20	Professional		$120.89	$269.58	$1,417.20