Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $442.96 / $2,020.63 / $5,405.38	Facility		$442.96	$2,020.63	$5,405.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $387.62 / $502.02 / $5,405.38	Professional		$387.62	$502.02	$5,405.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $389.93 / $1,452.56 / $4,144.39	Facility		$389.93	$1,452.56	$4,144.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $336.26 / $346.34 / $907.90	Professional		$336.26	$346.34	$907.90
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $607.79 / $2,370.63	Facility		$92.60	$607.79	$2,370.63
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $382.49 / $546.41 / $1,366.32	Professional		$382.49	$546.41	$1,366.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $447.11 / $1,183.55 / $2,751.22	Facility		$447.11	$1,183.55	$2,751.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $420.26 / $988.46 / $1,628.61	Professional		$420.26	$988.46	$1,628.61
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $840.65 / $924.72 / $1,345.04	Professional		$840.65	$924.72	$1,345.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $672.52 / $924.72 / $1,605.64	Professional		$672.52	$924.72	$1,605.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,345.04 / $3,993.09 / $3,993.09	Facility		$1,345.04	$3,993.09	$3,993.09
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,203.25 / $4,203.25 / $6,304.88	Professional		$4,203.25	$4,203.25	$6,304.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $420.32 / $420.32 / $588.45	Professional		$420.32	$420.32	$588.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $504.39 / $852.42 / $1,875.91	Facility		$504.39	$852.42	$1,875.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $484.30 / $924.72 / $1,628.61	Professional		$484.30	$924.72	$1,628.61
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,950.68 / $2,950.68 / $2,950.68	Professional		$2,950.68	$2,950.68	$2,950.68
United Facility/Professional Professional Modifier Low / Median / High Price $248.06 / $367.34 / $2,024.20	Professional		$248.06	$367.34	$2,024.20