Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $525.25 / $525.25 / $3,179.80	Facility		$525.25	$525.25	$3,179.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $430.88 / $525.25 / $3,179.80	Professional		$430.88	$525.25	$3,179.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.86 / $1,557.07 / $3,498.36	Facility		$398.86	$1,557.07	$3,498.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.62 / $526.17 / $893.36	Professional		$426.62	$526.17	$893.36
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $1,304.78 / $2,329.96	Facility		$97.00	$1,304.78	$2,329.96
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,462.29 / $3,406.15	Professional		$100.00	$1,462.29	$3,406.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $515.12 / $565.73 / $589.11	Facility		$515.12	$565.73	$589.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $412.98 / $412.98 / $582.70	Professional		$412.98	$412.98	$582.70
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $400.40 / $480.48 / $1,212.30	Professional		$400.40	$480.48	$1,212.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $661.25 / $771.46 / $1,675.18	Professional		$661.25	$771.46	$1,675.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,775.30 / $5,234.93 / $5,234.93	Facility		$1,775.30	$5,234.93	$5,234.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,290.03 / $5,290.03 / $7,425.83	Professional		$5,290.03	$5,290.03	$7,425.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,792.78 / $1,792.78 / $1,792.78	Professional		$1,792.78	$1,792.78	$1,792.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $281.66 / $883.67 / $1,102.08	Facility		$281.66	$883.67	$1,102.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $412.98 / $565.73 / $854.03	Professional		$412.98	$565.73	$854.03
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,080.15 / $2,080.15 / $2,080.15	Professional		$2,080.15	$2,080.15	$2,080.15
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $400.40 / $680.68 / $881.67	Professional		$400.40	$680.68	$881.67
United Facility/Professional Professional Modifier Low / Median / High Price $396.15 / $436.30 / $1,048.59	Professional		$396.15	$436.30	$1,048.59