Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $392.74 / $392.74 / $2,515.58	Facility		$392.74	$392.74	$2,515.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $336.09 / $392.74 / $2,515.58	Professional		$336.09	$392.74	$2,515.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $298.24 / $1,228.65 / $2,767.61	Facility		$298.24	$1,228.65	$2,767.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.41 / $382.93 / $708.06	Professional		$371.41	$382.93	$708.06
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $1,032.23 / $1,843.27	Facility		$97.00	$1,032.23	$1,843.27
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,156.83 / $2,694.65	Professional		$100.00	$1,156.83	$2,694.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.52 / $408.60 / $466.06	Facility		$407.52	$408.60	$466.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $298.27 / $298.27 / $435.59	Professional		$298.27	$298.27	$435.59
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $434.00 / $520.79 / $959.07	Professional		$434.00	$520.79	$959.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $523.13 / $610.32 / $1,325.26	Professional		$523.13	$610.32	$1,325.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,434.82 / $4,141.43 / $4,141.43	Facility		$1,434.82	$4,141.43	$4,141.43
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,535.78 / $4,644.63 / $6,534.08	Professional		$4,535.78	$4,644.63	$6,534.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,514.31 / $1,514.31 / $1,514.31	Professional		$1,514.31	$1,514.31	$1,514.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $210.61 / $738.69 / $876.80	Facility		$210.61	$738.69	$876.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $298.27 / $408.60 / $653.04	Professional		$298.27	$408.60	$653.04
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,645.63 / $1,645.63 / $1,645.63	Professional		$1,645.63	$1,645.63	$1,645.63
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $434.00 / $697.50 / $697.50	Professional		$434.00	$697.50	$697.50
United Facility/Professional Professional Modifier Low / Median / High Price $296.20 / $326.23 / $871.88	Professional		$296.20	$326.23	$871.88