Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $805.80 / $1,395.97 / $4,876.25	Facility		$805.80	$1,395.97	$4,876.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $606.69 / $850.00 / $4,876.25	Professional		$606.69	$850.00	$4,876.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $353.00 / $1,362.17 / $3,738.71	Facility		$353.00	$1,362.17	$3,738.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $303.33 / $321.54 / $3,207.86	Professional		$303.33	$321.54	$3,207.86
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $548.29 / $2,138.58	Facility		$92.60	$548.29	$2,138.58
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $262.04 / $374.34 / $1,058.58	Professional		$262.04	$374.34	$1,058.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $488.00 / $1,311.19 / $2,538.59	Facility		$488.00	$1,311.19	$2,538.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $403.76 / $652.26 / $2,053.29	Professional		$403.76	$652.26	$2,053.29
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $758.36 / $834.20 / $1,023.79	Professional		$758.36	$834.20	$1,023.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $682.52 / $872.11 / $1,653.22	Professional		$682.52	$872.11	$1,653.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,319.55 / $3,602.21 / $3,602.21	Facility		$1,319.55	$3,602.21	$3,602.21
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,791.80 / $3,791.80 / $5,687.70	Professional		$3,791.80	$3,791.80	$5,687.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $910.04 / $910.04 / $910.04	Professional		$910.04	$910.04	$910.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $606.69 / $947.95 / $2,179.23	Facility		$606.69	$947.95	$2,179.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $503.84 / $872.11 / $1,516.72	Professional		$503.84	$872.11	$1,516.72
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,661.84 / $2,661.84 / $2,661.84	Professional		$2,661.84	$2,661.84	$2,661.84
United Facility/Professional Professional Modifier Low / Median / High Price $318.51 / $318.51 / $1,681.59	Professional		$318.51	$318.51	$1,681.59