Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.61 / $891.61 / $5,710.93	Facility		$891.61	$891.61	$5,710.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $701.11 / $891.61 / $5,710.93	Professional		$701.11	$891.61	$5,710.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $677.07 / $2,789.33 / $6,283.11	Facility		$677.07	$2,789.33	$6,283.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $867.00 / $904.15 / $1,652.97	Professional		$867.00	$904.15	$1,652.97
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $2,343.39 / $4,184.62	Facility		$97.00	$2,343.39	$4,184.62
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $2,626.28 / $6,117.50	Professional		$100.00	$2,626.28	$6,117.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $925.79 / $1,149.77 / $1,149.77	Facility		$925.79	$1,149.77	$1,149.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $839.33 / $839.33 / $1,184.26	Professional		$839.33	$839.33	$1,184.26
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $827.65 / $993.18 / $2,177.31	Professional		$827.65	$993.18	$2,177.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,187.61 / $1,385.56 / $3,008.64	Professional		$1,187.61	$1,385.56	$3,008.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,608.10 / $7,860.20 / $9,402.01	Facility		$3,608.10	$7,860.20	$9,402.01
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,164.93 / $13,480.88 / $13,480.88	Professional		$13,164.93	$13,480.88	$13,480.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,779.17 / $3,779.17 / $3,779.17	Professional		$3,779.17	$3,779.17	$3,779.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $478.13 / $1,710.64 / $2,008.14	Facility		$478.13	$1,710.64	$2,008.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $839.33 / $1,149.77 / $1,525.09	Professional		$839.33	$1,149.77	$1,525.09
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,735.96 / $3,735.96 / $3,735.96	Professional		$3,735.96	$3,735.96	$3,735.96
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $827.65 / $1,407.01 / $1,583.50	Professional		$827.65	$1,407.01	$1,583.50
United Facility/Professional Professional Modifier Low / Median / High Price $672.47 / $740.61 / $1,979.37	Professional		$672.47	$740.61	$1,979.37