Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $781.76 / $3,544.00 / $7,647.93	Facility		$781.76	$3,544.00	$7,647.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $677.53 / $865.15 / $6,751.50	Professional		$677.53	$865.15	$6,751.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $475.19 / $1,814.30 / $5,176.50	Facility		$475.19	$1,814.30	$5,176.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $420.00 / $432.60 / $1,522.50	Professional		$420.00	$432.60	$1,522.50
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $759.15 / $2,961.00	Facility		$92.60	$759.15	$2,961.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $477.75 / $682.50 / $1,706.59	Professional		$477.75	$682.50	$1,706.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.42 / $1,706.25 / $3,514.88	Facility		$736.42	$1,706.25	$3,514.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.27 / $1,206.36 / $2,034.05	Professional		$562.27	$1,206.36	$2,034.05
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,050.00 / $1,155.00 / $1,680.00	Professional		$1,050.00	$1,155.00	$1,680.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $840.00 / $1,155.00 / $1,965.00	Professional		$840.00	$1,155.00	$1,965.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,680.00 / $4,987.50 / $4,987.50	Facility		$1,680.00	$4,987.50	$4,987.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,250.00 / $5,250.00 / $7,875.00	Professional		$5,250.00	$5,250.00	$7,875.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $525.00 / $525.00 / $735.00	Professional		$525.00	$525.00	$735.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $661.50 / $1,155.00 / $2,507.32	Facility		$661.50	$1,155.00	$2,507.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $617.30 / $1,099.68 / $2,028.16	Professional		$617.30	$1,099.68	$2,028.16
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,685.50 / $3,685.50 / $3,685.50	Professional		$3,685.50	$3,685.50	$3,685.50
United Facility/Professional Professional Modifier Low / Median / High Price $437.79 / $441.00 / $1,829.63	Professional		$437.79	$441.00	$1,829.63