Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $387.62 / $387.62 / $1,951.56	Facility		$387.62	$387.62	$1,951.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.52 / $387.62 / $1,951.56	Professional		$295.52	$387.62	$1,951.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $445.77 / $1,080.40 / $2,396.71	Facility		$445.77	$1,080.40	$2,396.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $325.43 / $392.47 / $644.49	Professional		$325.43	$392.47	$644.49
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $827.49 / $1,477.66	Facility		$97.00	$827.49	$1,477.66
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 $437.50 / $437.50 / $537.33	Facility		$437.50	$437.50	$537.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $319.38 / $319.38 / $450.63	Professional		$319.38	$319.38	$450.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $423.51 / $508.21 / $744.03	Professional		$423.51	$508.21	$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 $437.50 / $676.39 / $710.21	Facility		$437.50	$676.39	$710.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $319.38 / $437.50 / $643.79	Professional		$319.38	$437.50	$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 $423.51 / $541.11 / $608.75	Professional		$423.51	$541.11	$608.75
United Facility/Professional Professional Modifier Low / Median / High Price $290.72 / $314.27 / $676.39	Professional		$290.72	$314.27	$676.39