Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.00 / $175.00 / $1,937.68	Facility		$175.00	$175.00	$1,937.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.00 / $235.05 / $1,119.82	Professional		$175.00	$235.05	$1,119.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $262.63 / $601.19 / $1,485.66	Facility		$262.63	$601.19	$1,485.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.54 / $355.26 / $841.25	Professional		$120.54	$355.26	$841.25
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $217.88 / $849.81	Facility		$92.60	$217.88	$849.81
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $280.00 / $400.00 / $1,000.20	Professional		$280.00	$400.00	$1,000.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $217.35 / $521.04 / $1,008.78	Facility		$217.35	$521.04	$1,008.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.54 / $259.17 / $815.66	Professional		$160.54	$259.17	$815.66
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $301.35 / $331.49 / $406.82	Professional		$301.35	$331.49	$406.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $271.22 / $346.55 / $587.63	Professional		$271.22	$346.55	$587.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $524.35 / $1,601.02 / $1,601.02	Facility		$524.35	$1,601.02	$1,601.02
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,506.75 / $1,506.75 / $2,260.13	Professional		$1,506.75	$1,506.75	$2,260.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $228.21 / $361.62 / $865.99	Facility		$228.21	$361.62	$865.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $199.62 / $346.55 / $602.70	Professional		$199.62	$346.55	$602.70
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,057.73 / $1,057.73 / $1,057.73	Professional		$1,057.73	$1,057.73	$1,057.73
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $241.08 / $307.38 / $512.29	Professional		$241.08	$307.38	$512.29
United Facility/Professional Professional Modifier Low / Median / High Price $126.57 / $137.11 / $775.37	Professional		$126.57	$137.11	$775.37