Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $401.47 / $946.27 / $2,253.69	Facility		$401.47	$946.27	$2,253.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $386.96 / $401.47 / $689.73	Professional		$386.96	$401.47	$689.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $427.63 / $682.48 / $1,529.88	Facility		$427.63	$682.48	$1,529.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $386.96 / $411.15 / $801.74	Professional		$386.96	$411.15	$801.74
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $100.00 / $626.16	Facility		$77.09	$100.00	$626.16
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $435.33 / $435.33 / $970.00	Professional		$435.33	$435.33	$970.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $411.15 / $411.15 / $411.15	Facility		$411.15	$411.15	$411.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $411.15 / $411.15 / $411.15	Professional		$411.15	$411.15	$411.15
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $431.73 / $431.73 / $582.84	Professional		$431.73	$431.73	$582.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $585.00 / $801.00 / $1,666.00	Professional		$585.00	$801.00	$1,666.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $566.00 / $2,136.35 / $2,136.35	Facility		$566.00	$2,136.35	$2,136.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,838.06 / $1,838.06 / $2,176.65	Professional		$1,838.06	$1,838.06	$2,176.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $928.46 / $928.46	Professional		$60.00	$928.46	$928.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $386.96 / $427.27 / $505.85	Facility		$386.96	$427.27	$505.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $411.15 / $411.15 / $503.85	Professional		$411.15	$411.15	$503.85
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $760.53 / $760.53 / $760.53	Professional		$760.53	$760.53	$760.53
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $427.27 / $555.45 / $640.91	Professional		$427.27	$555.45	$640.91
United Facility/Professional Professional Modifier Low / Median / High Price $403.08 / $427.26 / $791.33	Professional		$403.08	$427.26	$791.33