Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $790.07 / $790.07 / $5,060.58	Facility		$790.07	$790.07	$5,060.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $610.49 / $790.07 / $5,060.58	Professional		$610.49	$790.07	$5,060.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $599.96 / $2,471.67 / $5,567.56	Facility		$599.96	$2,471.67	$5,567.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $647.72 / $792.54 / $1,234.83	Professional		$647.72	$792.54	$1,234.83
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $2,076.52 / $3,708.07	Facility		$97.00	$2,076.52	$3,708.07
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $2,327.19 / $5,420.84	Professional		$100.00	$2,327.19	$5,420.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $820.36 / $830.86 / $937.55	Facility		$820.36	$830.86	$937.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $606.53 / $606.53 / $885.74	Professional		$606.53	$606.53	$885.74
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $925.91 / $1,111.08 / $1,929.35	Professional		$925.91	$1,111.08	$1,929.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,052.36 / $1,227.77 / $2,666.00	Professional		$1,052.36	$1,227.77	$2,666.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,386.45 / $8,331.26 / $8,331.26	Facility		$3,386.45	$8,331.26	$8,331.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,940.74 / $13,251.33 / $13,251.33	Professional		$12,940.74	$13,251.33	$13,251.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,950.24 / $3,950.24 / $3,950.24	Professional		$3,950.24	$3,950.24	$3,950.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $423.68 / $1,490.86 / $1,779.45	Facility		$423.68	$1,490.86	$1,779.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $606.53 / $830.86 / $1,669.44	Professional		$606.53	$830.86	$1,669.44
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,310.52 / $3,310.52 / $3,310.52	Professional		$3,310.52	$3,310.52	$3,310.52
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $925.91 / $1,403.16 / $1,403.16	Professional		$925.91	$1,403.16	$1,403.16
United Facility/Professional Facility Modifier Low / Median / High Price $876.64 / $876.64 / $876.64	Facility		$876.64	$876.64	$876.64
United Facility/Professional Professional Modifier Low / Median / High Price $606.77 / $657.34 / $1,666.34	Professional		$606.77	$657.34	$1,666.34