Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $327.20 / $455.81 / $2,634.18	Professional		$327.20	$455.81	$2,634.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.52 / $68.17 / $1,514.10	Facility		$61.52	$68.17	$1,514.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $481.19 / $681.69 / $1,063.44	Professional		$481.19	$681.69	$1,063.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $1,235.06 / $1,235.06 / $1,235.06	Facility		$1,235.06	$1,235.06	$1,235.06
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $493.43 / $842.99	Professional		$100.00	$493.43	$842.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $369.39 / $369.39 / $1,053.32	Facility		$369.39	$369.39	$1,053.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.64 / $313.98 / $1,046.63	Professional		$269.64	$313.98	$1,046.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $801.99 / $801.99 / $962.39	Professional		$801.99	$801.99	$962.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $615.25 / $717.79 / $1,230.49	Professional		$615.25	$717.79	$1,230.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,286.67 / $4,343.22 / $4,343.22	Facility		$1,286.67	$4,343.22	$4,343.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $369.39 / $644.04 / $1,043.22	Facility		$369.39	$644.04	$1,043.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $269.64 / $369.39 / $604.79	Professional		$269.64	$369.39	$604.79
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,723.22 / $1,723.22 / $1,723.22	Professional		$1,723.22	$1,723.22	$1,723.22
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $709.89 / $709.89 / $801.99	Professional		$709.89	$709.89	$801.99
United Facility/Professional Professional Modifier Low / Median / High Price $368.11 / $435.42 / $921.13	Professional		$368.11	$435.42	$921.13