Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $306.76 / $437.57 / $2,889.57	Professional		$306.76	$437.57	$2,889.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.24 / $55.67 / $1,708.84	Facility		$50.24	$55.67	$1,708.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $556.74 / $639.92 / $1,001.49	Professional		$556.74	$639.92	$1,001.49
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $1,185.66 / $1,185.66 / $1,185.66	Facility		$1,185.66	$1,185.66	$1,185.66
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $541.27 / $795.59	Professional		$100.00	$541.27	$795.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $615.17 / $615.17 / $795.59	Facility		$615.17	$615.17	$795.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $522.90 / $615.17 / $1,161.00	Professional		$522.90	$615.17	$1,161.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $716.78 / $716.78 / $860.14	Professional		$716.78	$716.78	$860.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $600.89 / $701.04 / $1,201.79	Professional		$600.89	$701.04	$1,201.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,452.16 / $4,704.66 / $4,757.08	Facility		$1,452.16	$4,704.66	$4,757.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $274.17 / $617.50 / $1,001.49	Facility		$274.17	$617.50	$1,001.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $522.90 / $615.17 / $664.20	Professional		$522.90	$615.17	$664.20
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,890.29 / $1,890.29 / $1,890.29	Professional		$1,890.29	$1,890.29	$1,890.29
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $716.78 / $716.78 / $801.19	Professional		$716.78	$716.78	$801.19
United Facility/Professional Professional Modifier Low / Median / High Price $332.53 / $424.69 / $888.17	Professional		$332.53	$424.69	$888.17