Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.93 / $222.93 / $4,948.39	Facility		$222.93	$222.93	$4,948.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.93 / $222.93 / $4,948.39	Professional		$222.93	$222.93	$4,948.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $356.96 / $1,382.32 / $3,794.03	Facility		$356.96	$1,382.32	$3,794.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $307.83 / $326.29 / $3,255.32	Professional		$307.83	$326.29	$3,255.32
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $556.41 / $2,170.21	Facility		$92.60	$556.41	$2,170.21
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $160.21 / $228.87 / $650.75	Professional		$160.21	$228.87	$650.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $495.23 / $1,330.61 / $2,576.17	Facility		$495.23	$1,330.61	$2,576.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $409.89 / $661.87 / $2,083.50	Professional		$409.89	$661.87	$2,083.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $769.58 / $846.54 / $1,038.93	Professional		$769.58	$846.54	$1,038.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $692.62 / $885.02 / $1,677.68	Professional		$692.62	$885.02	$1,677.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,339.07 / $3,655.51 / $3,655.51	Facility		$1,339.07	$3,655.51	$3,655.51
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,847.90 / $3,847.90 / $5,771.85	Professional		$3,847.90	$3,847.90	$5,771.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $769.58 / $769.58 / $769.58	Professional		$769.58	$769.58	$769.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $372.98 / $923.50 / $2,211.52	Facility		$372.98	$923.50	$2,211.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $461.75 / $846.54 / $1,539.16	Professional		$461.75	$846.54	$1,539.16
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,701.22 / $2,701.22 / $2,701.22	Professional		$2,701.22	$2,701.22	$2,701.22
United Facility/Professional Professional Modifier Low / Median / High Price $323.22 / $323.22 / $1,706.47	Professional		$323.22	$323.22	$1,706.47