Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $481.70 / $481.70 / $3,085.35	Facility		$481.70	$481.70	$3,085.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.42 / $481.70 / $706.27	Professional		$380.42	$481.70	$706.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $365.79 / $1,506.93 / $3,394.44	Facility		$365.79	$1,506.93	$3,394.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $453.00 / $487.72 / $863.63	Professional		$453.00	$487.72	$863.63
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $1,266.02 / $2,260.75	Facility		$97.00	$1,266.02	$2,260.75
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,418.86 / $3,304.99	Professional		$100.00	$1,418.86	$3,304.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $499.82 / $501.14 / $571.62	Facility		$499.82	$501.14	$571.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $365.83 / $365.83 / $534.24	Professional		$365.83	$365.83	$534.24
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $477.58 / $573.10 / $1,176.29	Professional		$477.58	$573.10	$1,176.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $641.61 / $748.55 / $1,625.41	Professional		$641.61	$748.55	$1,625.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,787.60 / $5,079.41 / $5,079.41	Facility		$1,787.60	$5,079.41	$5,079.41
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,650.92 / $5,786.55 / $7,188.45	Professional		$5,650.92	$5,786.55	$7,188.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,814.22 / $1,814.22 / $1,814.22	Professional		$1,814.22	$1,814.22	$1,814.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $258.31 / $884.99 / $1,083.81	Facility		$258.31	$884.99	$1,083.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $365.83 / $501.14 / $783.22	Professional		$365.83	$501.14	$783.22
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,018.37 / $2,018.37 / $2,018.37	Professional		$2,018.37	$2,018.37	$2,018.37
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $477.58 / $811.89 / $855.48	Professional		$477.58	$811.89	$855.48
United Facility/Professional Professional Modifier Low / Median / High Price $369.94 / $400.12 / $1,015.94	Professional		$369.94	$400.12	$1,015.94