Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.91 / $602.91 / $3,861.80	Facility		$602.91	$602.91	$3,861.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $496.43 / $602.91 / $3,861.80	Professional		$496.43	$602.91	$3,861.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $457.84 / $1,886.16 / $4,248.67	Facility		$457.84	$1,886.16	$4,248.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.71 / $604.41 / $933.58	Professional		$489.71	$604.41	$933.58
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $1,584.61 / $2,829.67	Facility		$97.00	$1,584.61	$2,829.67
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,775.91 / $4,136.72	Professional		$100.00	$1,775.91	$4,136.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.60 / $627.26 / $715.46	Facility		$625.60	$627.26	$715.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.90 / $457.90 / $1,163.63	Professional		$457.90	$457.90	$1,163.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $715.46 / $858.55 / $1,472.31	Professional		$715.46	$858.55	$1,472.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $803.08 / $936.92 / $2,034.46	Professional		$803.08	$936.92	$2,034.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,669.29 / $6,357.69 / $6,357.69	Facility		$2,669.29	$6,357.69	$6,357.69
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,200.24 / $10,445.04 / $10,445.04	Professional		$10,200.24	$10,445.04	$10,445.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,192.86 / $2,192.86 / $2,192.86	Professional		$2,192.86	$2,192.86	$2,192.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $323.31 / $1,077.96 / $1,357.91	Facility		$323.31	$1,077.96	$1,357.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $457.90 / $457.90 / $1,198.89	Professional		$457.90	$457.90	$1,198.89
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,526.30 / $2,526.30 / $2,526.30	Professional		$2,526.30	$2,526.30	$2,526.30
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $715.46 / $1,070.77 / $1,073.19	Professional		$715.46	$1,070.77	$1,073.19
United Facility/Professional Facility Modifier Low / Median / High Price $82.72 / $454.73 / $496.34	Facility		$82.72	$454.73	$496.34
United Facility/Professional Professional Modifier Low / Median / High Price $463.04 / $500.81 / $1,295.08	Professional		$463.04	$500.81	$1,295.08