Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $6,025.60	Facility		$630.96	$630.96	$6,025.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $630.96 / $5,370.32	Professional		$501.19	$630.96	$5,370.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $602.56 / $2,754.23	Facility		$478.63	$602.56	$2,754.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $1,513.56	Professional		$630.96	$630.96	$1,513.56
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,398.83 / $3,235.94	Facility		$100.00	$2,398.83	$3,235.94
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,630.27 / $4,466.84	Professional		$1,348.96	$2,630.27	$4,466.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $741.31 / $741.31	Facility		$645.65	$741.31	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $741.31	Professional		$537.03	$537.03	$741.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $933.25 / $1,698.24	Professional		$741.31	$933.25	$1,698.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,288.25 / $2,238.72	Professional		$851.14	$1,288.25	$2,238.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $6,606.93 / $6,606.93	Facility		$6,606.93	$6,606.93	$6,606.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,332.54 / $10,471.29 / $10,471.29	Professional		$9,332.54	$10,471.29	$10,471.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Professional		$1,122.02	$1,122.02	$1,122.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,174.90 / $1,698.24	Facility		$436.52	$1,174.90	$1,698.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $1,318.26	Professional		$537.03	$537.03	$1,318.26
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Professional		$2,630.27	$2,630.27	$2,630.27
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,122.02 / $1,288.25	Professional		$741.31	$1,122.02	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $512.86 / $1,412.54	Facility		$85.11	$512.86	$1,412.54
United Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $575.44 / $1,412.54	Professional		$478.63	$575.44	$1,412.54