Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $570.73 / $2,378.87 / $5,482.24	Facility		$570.73	$2,378.87	$5,482.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $381.15 / $570.73 / $3,142.08	Professional		$381.15	$570.73	$3,142.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $312.00 / $877.73 / $2,409.09	Facility		$312.00	$877.73	$2,409.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $241.31 / $431.12 / $1,429.56	Professional		$241.31	$431.12	$1,429.56
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $901.19 / $6,124.00	Facility		$59.40	$901.19	$6,124.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $302.87 / $432.67 / $1,323.96	Professional		$302.87	$432.67	$1,323.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $358.92 / $838.54 / $1,701.23	Facility		$358.92	$838.54	$1,701.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $319.16 / $526.57 / $2,407.53	Professional		$319.16	$526.57	$2,407.53
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $434.36 / $499.51 / $659.69	Professional		$434.36	$499.51	$659.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $439.79 / $561.96 / $1,075.05	Professional		$439.79	$561.96	$1,075.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $850.27 / $2,332.80 / $2,332.80	Facility		$850.27	$2,332.80	$2,332.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,716.07 / $4,017.97 / $4,017.97	Professional		$3,716.07	$4,017.97	$4,017.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $586.39 / $586.39 / $586.39	Professional		$586.39	$586.39	$586.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $457.39 / $754.70 / $1,575.44	Facility		$457.39	$754.70	$1,575.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $359.70 / $591.28 / $1,633.28	Professional		$359.70	$591.28	$1,633.28
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,715.19 / $1,715.19 / $1,715.19	Professional		$1,715.19	$1,715.19	$1,715.19
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $390.93 / $486.48 / $738.41	Professional		$390.93	$486.48	$738.41
United Facility/Professional Professional Modifier Low / Median / High Price $205.24 / $290.68 / $1,307.36	Professional		$205.24	$290.68	$1,307.36