Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $601.75 / $2,727.92 / $5,886.82	Facility		$601.75	$2,727.92	$5,886.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $455.43 / $607.24 / $4,880.68	Professional		$455.43	$607.24	$4,880.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $253.52 / $253.52 / $253.52	Professional		$253.52	$253.52	$253.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $353.00 / $1,311.56 / $3,742.12	Facility		$353.00	$1,311.56	$3,742.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $303.62 / $717.31 / $1,664.99	Professional		$303.62	$717.31	$1,664.99
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.90 / $1,095.98 / $7,285.16	Facility		$59.90	$1,095.98	$7,285.16
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $365.06 / $521.51 / $1,289.17	Professional		$365.06	$521.51	$1,289.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $493.38 / $1,090.36 / $2,484.17	Facility		$493.38	$1,090.36	$2,484.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $379.53 / $663.82 / $1,801.62	Professional		$379.53	$663.82	$1,801.62
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $759.05 / $834.96 / $1,214.48	Professional		$759.05	$834.96	$1,214.48
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $803.52 / $803.52 / $803.52	Professional		$803.52	$803.52	$803.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $683.15 / $834.96 / $1,449.79	Professional		$683.15	$834.96	$1,449.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,431.64 / $3,605.49 / $3,605.49	Facility		$1,431.64	$3,605.49	$3,605.49
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,795.25 / $3,795.25 / $5,692.88	Professional		$3,795.25	$3,795.25	$5,692.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $379.52 / $379.52 / $379.52	Professional		$379.52	$379.52	$379.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $455.43 / $848.61 / $1,812.90	Facility		$455.43	$848.61	$1,812.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $432.93 / $834.96 / $1,558.53	Professional		$432.93	$834.96	$1,558.53
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,664.26 / $2,664.26 / $2,664.26	Professional		$2,664.26	$2,664.26	$2,664.26
United Facility/Professional Professional Modifier Low / Median / High Price $318.80 / $336.98 / $1,404.24	Professional		$318.80	$336.98	$1,404.24