Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $530.12 / $530.12 / $2,782.49	Facility		$530.12	$530.12	$2,782.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $460.98 / $530.12 / $777.26	Professional		$460.98	$530.12	$777.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $402.56 / $1,463.10 / $3,061.26	Facility		$402.56	$1,463.10	$3,061.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $481.98 / $506.78 / $918.87	Professional		$481.98	$506.78	$918.87
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $98.20 / $1,141.76 / $2,038.85	Facility		$98.20	$1,141.76	$2,038.85
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,279.58 / $2,980.55	Professional		$100.00	$1,279.58	$2,980.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $551.53 / $551.53 / $766.12	Facility		$551.53	$551.53	$766.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $402.62 / $402.62 / $625.41	Professional		$402.62	$402.62	$625.41
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $515.50 / $618.60 / $1,060.83	Professional		$515.50	$618.60	$1,060.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $578.63 / $675.07 / $1,465.87	Professional		$578.63	$675.07	$1,465.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,659.89 / $4,601.05 / $4,601.05	Facility		$1,659.89	$4,601.05	$4,601.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,974.32 / $4,974.32 / $7,232.93	Professional		$4,974.32	$4,974.32	$7,232.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,036.28 / $2,036.28 / $2,036.28	Professional		$2,036.28	$2,036.28	$2,036.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $284.27 / $869.69 / $993.31	Facility		$284.27	$869.69	$993.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $402.62 / $551.53 / $917.92	Professional		$402.62	$551.53	$917.92
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,820.24 / $1,820.24 / $1,820.24	Professional		$1,820.24	$1,820.24	$1,820.24
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $515.50 / $771.51 / $773.25	Professional		$515.50	$771.51	$773.25
United Facility/Professional Professional Modifier Low / Median / High Price $400.94 / $440.35 / $915.25	Professional		$400.94	$440.35	$915.25