Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $392.85 / $392.85 / $2,516.31	Facility		$392.85	$392.85	$2,516.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.25 / $392.85 / $2,516.31	Professional		$318.25	$392.85	$2,516.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $298.32 / $1,228.99 / $2,768.37	Facility		$298.32	$1,228.99	$2,768.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $358.25 / $383.03 / $682.98	Professional		$358.25	$383.03	$682.98
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $1,032.51 / $1,843.77	Facility		$97.00	$1,032.51	$1,843.77
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,157.16 / $2,695.43	Professional		$100.00	$1,157.16	$2,695.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.90 / $408.71 / $466.18	Facility		$407.90	$408.71	$466.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $298.36 / $298.36 / $420.97	Professional		$298.36	$298.36	$420.97
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $427.86 / $513.42 / $959.33	Professional		$427.86	$513.42	$959.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $523.27 / $610.48 / $1,325.62	Professional		$523.27	$610.48	$1,325.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,490.81 / $3,443.36 / $4,142.57	Facility		$1,490.81	$3,443.36	$4,142.57
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,061.74 / $5,183.24 / $5,193.97	Professional		$5,061.74	$5,183.24	$5,193.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,509.92 / $1,509.92 / $1,509.92	Professional		$1,509.92	$1,509.92	$1,509.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $210.66 / $736.55 / $884.79	Facility		$210.66	$736.55	$884.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $298.36 / $408.71 / $741.30	Professional		$298.36	$408.71	$741.30
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,646.11 / $1,646.11 / $1,646.11	Professional		$1,646.11	$1,646.11	$1,646.11
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $427.86 / $697.70 / $697.70	Professional		$427.86	$697.70	$697.70
United Facility/Professional Professional Modifier Low / Median / High Price $301.70 / $326.32 / $827.70	Professional		$301.70	$326.32	$827.70