Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $316.23 / $2,818.38	Facility		$245.47	$316.23	$2,818.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $316.23 / $2,454.71	Professional		$257.04	$316.23	$2,454.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $302.00 / $1,318.26	Facility		$239.88	$302.00	$1,318.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $331.13 / $741.31	Professional		$316.23	$331.13	$741.31
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,122.02 / $1,513.56	Facility		$100.00	$1,122.02	$1,513.56
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,202.26 / $2,089.30	Professional		$630.96	$1,202.26	$2,089.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $331.13 / $331.13	Facility		$302.00	$331.13	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $331.13	Professional		$239.88	$239.88	$331.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $295.12 / $794.33	Professional		$239.88	$295.12	$794.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $588.84 / $1,047.13	Professional		$398.11	$588.84	$1,047.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Facility		$3,090.30	$3,090.30	$3,090.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $5,011.87 / $5,011.87	Professional		$3,235.94	$5,011.87	$5,011.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Professional		$630.96	$630.96	$630.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $575.44 / $812.83	Facility		$218.78	$575.44	$812.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $537.03	Professional		$239.88	$239.88	$537.03
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Professional		$1,230.27	$1,230.27	$1,230.27
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $354.81 / $588.84	Professional		$239.88	$354.81	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $257.04 / $707.95	Facility		$43.65	$257.04	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $302.00 / $645.65	Professional		$239.88	$302.00	$645.65