Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $6,760.83	Facility		$851.14	$851.14	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $851.14 / $5,888.44	Professional		$676.08	$851.14	$5,888.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $831.76 / $3,548.13	Facility		$645.65	$831.76	$3,548.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $1,698.24	Professional		$933.25	$933.25	$1,698.24
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,691.53 / $3,630.78	Facility		$100.00	$2,691.53	$3,630.78
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,884.03 / $5,011.87	Professional		$1,513.56	$2,884.03	$5,011.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Facility		$1,122.02	$1,122.02	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $1,122.02	Professional		$812.83	$812.83	$1,122.02
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,047.13 / $1,905.46	Professional		$831.76	$1,047.13	$1,905.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,412.54 / $2,511.89	Professional		$954.99	$1,412.54	$2,511.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $7,413.10 / $7,413.10	Facility		$7,413.10	$7,413.10	$7,413.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,943.28 / $11,748.98 / $11,748.98	Professional		$7,943.28	$11,748.98	$11,748.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Professional		$1,584.89	$1,584.89	$1,584.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $1,584.89 / $1,995.26	Facility		$457.09	$1,584.89	$1,995.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $1,513.56	Professional		$812.83	$812.83	$1,513.56
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $2,951.21	Professional		$2,951.21	$2,951.21	$2,951.21
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,230.27 / $1,412.54	Professional		$831.76	$1,230.27	$1,412.54
United Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $707.95 / $1,949.84	Facility		$117.49	$707.95	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $776.25 / $1,584.89	Professional		$660.69	$776.25	$1,584.89