Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $384.63 / $384.63 / $1,929.35	Facility		$384.63	$384.63	$1,929.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $297.20 / $384.63 / $1,929.35	Professional		$297.20	$384.63	$1,929.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $292.08 / $1,025.09 / $2,122.62	Facility		$292.08	$1,025.09	$2,122.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $375.02 / $386.27 / $747.52	Professional		$375.02	$386.27	$747.52
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $791.68 / $1,413.72	Facility		$97.00	$791.68	$1,413.72
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $887.24 / $2,066.69	Professional		$100.00	$887.24	$2,066.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $312.77 / $400.16 / $400.16	Facility		$312.77	$400.16	$400.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.12 / $292.12 / $412.16	Professional		$292.12	$292.12	$412.16
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $139.61 / $167.53 / $735.56	Professional		$139.61	$167.53	$735.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $401.21 / $468.08 / $1,016.41	Professional		$401.21	$468.08	$1,016.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,631.67 / $3,405.00 / $3,405.00	Facility		$1,631.67	$3,405.00	$3,405.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,239.22 / $4,239.22 / $6,404.10	Professional		$4,239.22	$4,239.22	$6,404.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,312.84 / $1,312.84 / $1,312.84	Professional		$1,312.84	$1,312.84	$1,312.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $206.26 / $580.85 / $677.74	Facility		$206.26	$580.85	$677.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $292.12 / $400.16 / $609.54	Professional		$292.12	$400.16	$609.54
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,262.14 / $1,262.14 / $1,262.14	Professional		$1,262.14	$1,262.14	$1,262.14
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $139.61 / $237.34 / $534.95	Professional		$139.61	$237.34	$534.95
United Facility/Professional Facility Modifier Low / Median / High Price $725.80 / $853.88 / $853.88	Facility		$725.80	$853.88	$853.88
United Facility/Professional Professional Modifier Low / Median / High Price $295.39 / $319.49 / $668.69	Professional		$295.39	$319.49	$668.69