Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $432.54 / $1,784.66 / $4,014.18	Facility		$432.54	$1,784.66	$4,014.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $376.42 / $493.60 / $1,890.96	Professional		$376.42	$493.60	$1,890.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $312.00 / $914.03 / $2,508.73	Facility		$312.00	$914.03	$2,508.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $203.55 / $598.20 / $1,416.49	Professional		$203.55	$598.20	$1,416.49
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $671.71 / $4,564.56	Facility		$59.40	$671.71	$4,564.56
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $219.45 / $313.50 / $788.11	Professional		$219.45	$313.50	$788.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $360.30 / $879.85 / $1,703.47	Facility		$360.30	$879.85	$1,703.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $270.89 / $421.68 / $1,554.95	Professional		$270.89	$421.68	$1,554.95
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $404.30 / $508.87 / $686.97	Professional		$404.30	$508.87	$686.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $457.98 / $585.20 / $1,119.51	Professional		$457.98	$585.20	$1,119.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $885.43 / $2,417.13 / $2,417.13	Facility		$885.43	$2,417.13	$2,417.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,544.35 / $2,544.35 / $3,816.53	Professional		$2,544.35	$2,544.35	$3,816.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $427.45 / $427.45 / $427.45	Professional		$427.45	$427.45	$427.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $407.10 / $610.64 / $1,462.33	Facility		$407.10	$610.64	$1,462.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $276.49 / $571.52 / $1,377.96	Professional		$276.49	$571.52	$1,377.96
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,786.13 / $1,786.13 / $1,786.13	Professional		$1,786.13	$1,786.13	$1,786.13
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $407.10 / $457.98 / $687.31	Professional		$407.10	$457.98	$687.31
United Facility/Professional Professional Modifier Low / Median / High Price $213.73 / $215.22 / $1,011.02	Professional		$213.73	$215.22	$1,011.02