Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $960.24 / $1,077.68 / $1,077.68	Facility		$960.24	$1,077.68	$1,077.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $814.30 / $922.53 / $1,107.80	Professional		$814.30	$922.53	$1,107.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $88.20 / $293.00 / $876.00	Facility		$88.20	$293.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $300.87 / $405.23 / $887.46	Professional		$300.87	$405.23	$887.46
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $819.06 / $1,609.07	Facility		$97.00	$819.06	$1,609.07
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $742.42 / $1,060.59 / $2,363.23	Professional		$742.42	$1,060.59	$2,363.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $572.51 / $666.37 / $2,015.72	Facility		$572.51	$666.37	$2,015.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $842.40 / $1,336.75 / $2,890.68	Professional		$842.40	$1,336.75	$2,890.68
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.18 / $1,023.18 / $1,227.82	Professional		$1,023.18	$1,023.18	$1,227.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $879.43 / $1,150.33 / $1,923.76	Professional		$879.43	$1,150.33	$1,923.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,001.31 / $4,371.92 / $5,001.75	Facility		$2,001.31	$4,371.92	$5,001.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,795.70 / $5,795.70 / $8,068.43	Professional		$5,795.70	$5,795.70	$8,068.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $85.00	Professional		$60.00	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $884.49 / $1,200.30 / $1,611.62	Facility		$884.49	$1,200.30	$1,611.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $900.89 / $1,313.08 / $2,339.30	Professional		$900.89	$1,313.08	$2,339.30
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,022.03 / $1,330.13 / $1,739.41	Professional		$1,022.03	$1,330.13	$1,739.41
United Facility/Professional Facility Modifier Low / Median / High Price $1,149.78 / $1,149.78 / $1,149.78	Facility		$1,149.78	$1,149.78	$1,149.78
United Facility/Professional Professional Modifier Low / Median / High Price $751.67 / $1,100.65 / $2,791.77	Professional		$751.67	$1,100.65	$2,791.77