Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $904.78 / $904.78 / $904.78	Facility		$904.78	$904.78	$904.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $719.15 / $904.78 / $972.65	Professional		$719.15	$904.78	$972.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $687.07 / $2,497.16 / $5,224.71	Facility		$687.07	$2,497.16	$5,224.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $844.86 / $916.09 / $1,568.29	Professional		$844.86	$916.09	$1,568.29
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $1,948.64 / $3,479.71	Facility		$97.00	$1,948.64	$3,479.71
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $2,183.88 / $5,086.97	Professional		$100.00	$2,183.88	$5,086.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $941.33 / $941.33 / $1,307.54	Facility		$941.33	$941.33	$1,307.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $687.17 / $687.17 / $969.57	Professional		$687.17	$687.17	$969.57
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,316.75 / $1,645.94 / $1,975.13	Professional		$1,316.75	$1,645.94	$1,975.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $987.56 / $1,152.16 / $2,501.83	Professional		$987.56	$1,152.16	$2,501.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,833.03 / $7,852.81 / $7,852.81	Facility		$2,833.03	$7,852.81	$7,852.81
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,490.04 / $8,490.04 / $12,344.55	Professional		$8,490.04	$8,490.04	$12,344.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,475.42 / $3,475.42 / $3,475.42	Professional		$3,475.42	$3,475.42	$3,475.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $485.19 / $1,455.15 / $1,695.33	Facility		$485.19	$1,455.15	$1,695.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $687.17 / $941.33 / $1,566.63	Professional		$687.17	$941.33	$1,566.63
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,106.63 / $3,106.63 / $3,106.63	Professional		$3,106.63	$3,106.63	$3,106.63
United Facility/Professional Professional Modifier Low / Median / High Price $694.88 / $751.55 / $1,592.59	Professional		$694.88	$751.55	$1,592.59