Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $451.58 / $2,047.16 / $4,417.70	Facility		$451.58	$2,047.16	$4,417.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $358.74 / $451.58 / $2,953.96	Professional		$358.74	$451.58	$2,953.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $312.00 / $1,033.13 / $2,947.70	Facility		$312.00	$1,033.13	$2,947.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.16 / $246.33 / $894.87	Professional		$239.16	$246.33	$894.87
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $432.29 / $1,686.11	Facility		$92.60	$432.29	$1,686.11
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $272.05 / $388.64 / $971.79	Professional		$272.05	$388.64	$971.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $417.80 / $841.79 / $1,956.80	Facility		$417.80	$841.79	$1,956.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $324.89 / $686.82 / $1,155.29	Professional		$324.89	$686.82	$1,155.29
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $478.33 / $597.91 / $807.18	Professional		$478.33	$597.91	$807.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $478.33 / $657.70 / $1,046.33	Professional		$478.33	$657.70	$1,046.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $956.66 / $2,840.07 / $2,840.07	Facility		$956.66	$2,840.07	$2,840.07
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,989.55 / $2,989.55 / $4,484.33	Professional		$2,989.55	$2,989.55	$4,484.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $298.95 / $298.95 / $418.53	Professional		$298.95	$298.95	$418.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $358.74 / $668.46 / $1,427.46	Facility		$358.74	$668.46	$1,427.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $351.63 / $635.22 / $1,155.29	Professional		$351.63	$635.22	$1,155.29
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,098.66 / $2,098.66 / $2,098.66	Professional		$2,098.66	$2,098.66	$2,098.66
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $478.33 / $535.73 / $813.16	Professional		$478.33	$535.73	$813.16
United Facility/Professional Professional Modifier Low / Median / High Price $251.12 / $252.88 / $1,077.43	Professional		$251.12	$252.88	$1,077.43