Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $851.14 / $5,888.44	Facility		$436.52	$851.14	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $724.44 / $3,311.31	Professional		$436.52	$724.44	$3,311.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $2,089.30 / $4,466.84	Facility		$416.87	$2,089.30	$4,466.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $389.05 / $2,290.87	Professional		$354.81	$389.05	$2,290.87
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $2,041.74 / $2,511.89	Facility		$645.65	$2,041.74	$2,511.89
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $676.08 / $1,737.80	Professional		$524.81	$676.08	$1,737.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,584.89 / $3,162.28	Facility		$588.84	$1,584.89	$3,162.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $954.99 / $1,778.28	Professional		$478.63	$954.99	$1,778.28
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $977.24 / $1,202.26	Professional		$891.25	$977.24	$1,202.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $933.25 / $1,584.89	Professional		$724.44	$933.25	$1,584.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $4,265.80	Facility		$4,265.80	$4,265.80	$4,265.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $6,760.83 / $6,760.83	Professional		$4,466.84	$6,760.83	$6,760.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $1,071.52 / $1,071.52	Professional		$537.03	$1,071.52	$1,071.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $933.25 / $2,290.87	Facility		$446.68	$933.25	$2,290.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $954.99 / $1,778.28	Professional		$478.63	$954.99	$1,778.28
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Professional		$3,162.28	$3,162.28	$3,162.28
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,000.00 / $13,489.63	Professional		$724.44	$1,000.00	$13,489.63
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $489.78 / $891.25	Facility		$407.38	$489.78	$891.25
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $1,513.56	Professional		$380.19	$380.19	$1,513.56