Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.82 / $371.82 / $1,951.56	Facility		$371.82	$371.82	$1,951.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.52 / $371.82 / $1,951.56	Professional		$295.52	$371.82	$1,951.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $282.35 / $1,026.20 / $2,147.06	Facility		$282.35	$1,026.20	$2,147.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.07 / $376.46 / $644.49	Professional		$338.07	$376.46	$644.49
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $800.78 / $1,429.97	Facility		$97.00	$800.78	$1,429.97
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $897.46 / $2,090.46	Professional		$100.00	$897.46	$2,090.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.14 / $386.84 / $386.84	Facility		$316.14	$386.84	$386.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $282.39 / $282.39 / $398.45	Professional		$282.39	$282.39	$398.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $290.60 / $348.72 / $744.03	Professional		$290.60	$348.72	$744.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $405.83 / $473.47 / $1,028.10	Professional		$405.83	$473.47	$1,028.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,164.24 / $3,239.07 / $3,239.07	Facility		$1,164.24	$3,239.07	$3,239.07
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,488.94 / $3,488.94 / $5,072.93	Professional		$3,488.94	$3,488.94	$5,072.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,428.25 / $1,428.25 / $1,428.25	Professional		$1,428.25	$1,428.25	$1,428.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $199.39 / $587.52 / $696.71	Facility		$199.39	$587.52	$696.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $282.39 / $386.83 / $643.79	Professional		$282.39	$386.83	$643.79
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,276.67 / $1,276.67 / $1,276.67	Professional		$1,276.67	$1,276.67	$1,276.67
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $290.60 / $494.02 / $541.11	Professional		$290.60	$494.02	$541.11
United Facility/Professional Professional Modifier Low / Median / High Price $285.56 / $314.27 / $642.61	Professional		$285.56	$314.27	$642.61