Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $545.82 / $545.82 / $2,702.30	Facility		$545.82	$545.82	$2,702.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $449.81 / $545.82 / $2,702.30	Professional		$449.81	$545.82	$2,702.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $414.49 / $1,435.81 / $2,973.05	Facility		$414.49	$1,435.81	$2,973.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $553.50 / $553.50 / $1,090.49	Professional		$553.50	$553.50	$1,090.49
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $98.20 / $1,108.83 / $1,980.06	Facility		$98.20	$1,108.83	$1,980.06
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,242.71 / $2,894.68	Professional		$100.00	$1,242.71	$2,894.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $437.75 / $567.88 / $567.88	Facility		$437.75	$567.88	$567.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $414.55 / $414.55 / $1,359.38	Professional		$414.55	$414.55	$1,359.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $500.63 / $600.76 / $1,030.26	Professional		$500.63	$600.76	$1,030.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $561.96 / $655.62 / $1,423.63	Professional		$561.96	$655.62	$1,423.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,969.92 / $4,877.45 / $4,877.45	Facility		$1,969.92	$4,877.45	$4,877.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,852.00 / $5,852.00 / $9,088.04	Professional		$5,852.00	$5,852.00	$9,088.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,101.72 / $2,101.72 / $2,101.72	Professional		$2,101.72	$2,101.72	$2,101.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $292.70 / $822.57 / $983.43	Facility		$292.70	$822.57	$983.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $414.55 / $414.55 / $926.06	Professional		$414.55	$414.55	$926.06
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,767.78 / $1,767.78 / $1,767.78	Professional		$1,767.78	$1,767.78	$1,767.78
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $500.63 / $749.28 / $750.95	Professional		$500.63	$749.28	$750.95
United Facility/Professional Professional Modifier Low / Median / High Price $411.67 / $453.39 / $944.95	Professional		$411.67	$453.39	$944.95