Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $963.49 / $963.49 / $5,258.51	Facility		$963.49	$963.49	$5,258.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $801.72 / $963.49 / $5,258.51	Professional		$801.72	$963.49	$5,258.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $731.65 / $2,659.18 / $5,785.32	Facility		$731.65	$2,659.18	$5,785.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $887.80 / $975.53 / $1,692.50	Professional		$887.80	$975.53	$1,692.50
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $2,157.73 / $3,853.11	Facility		$97.00	$2,157.73	$3,853.11
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $2,418.21 / $5,632.84	Professional		$100.00	$2,418.21	$5,632.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $852.45 / $1,025.33 / $1,025.33	Facility		$852.45	$1,025.33	$1,025.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $748.49 / $748.49 / $1,093.05	Professional		$748.49	$748.49	$1,093.05
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $974.23 / $1,169.08 / $2,004.81	Professional		$974.23	$1,169.08	$2,004.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,093.53 / $1,275.79 / $2,770.28	Professional		$1,093.53	$1,275.79	$2,770.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,694.38 / $8,657.11 / $8,657.11	Facility		$3,694.38	$8,657.11	$8,657.11
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,927.28 / $9,927.28 / $14,526.53	Professional		$9,927.28	$9,927.28	$14,526.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,541.39 / $3,541.39 / $3,541.39	Professional		$3,541.39	$3,541.39	$3,541.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $516.66 / $1,611.30 / $1,822.55	Facility		$516.66	$1,611.30	$1,822.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $748.49 / $1,025.33 / $1,784.69	Professional		$748.49	$1,025.33	$1,784.69
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,440.00 / $3,440.00 / $3,440.00	Professional		$3,440.00	$3,440.00	$3,440.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $974.23 / $1,458.04 / $1,461.35	Professional		$974.23	$1,458.04	$1,461.35
United Facility/Professional Professional Modifier Low / Median / High Price $739.96 / $855.88 / $1,940.04	Professional		$739.96	$855.88	$1,940.04