Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $433.12 / $433.12 / $2,604.13	Facility		$433.12	$433.12	$2,604.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $358.89 / $433.12 / $1,204.07	Professional		$358.89	$433.12	$1,204.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $328.91 / $1,284.00 / $2,865.03	Facility		$328.91	$1,284.00	$2,865.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $411.12 / $439.23 / $763.14	Professional		$411.12	$439.23	$763.14
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $1,068.58 / $1,908.17	Facility		$97.00	$1,068.58	$1,908.17
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,197.56 / $2,789.51	Professional		$100.00	$1,197.56	$2,789.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $488.53 / $488.53 / $753.96	Facility		$488.53	$488.53	$753.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $356.63 / $356.63 / $679.93	Professional		$356.63	$356.63	$679.93
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $733.55 / $880.26 / $992.83	Professional		$733.55	$880.26	$992.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $541.54 / $631.79 / $1,371.91	Professional		$541.54	$631.79	$1,371.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,378.57 / $4,287.21 / $4,287.21	Facility		$1,378.57	$4,287.21	$4,287.21
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,332.34 / $4,332.34 / $6,185.25	Professional		$4,332.34	$4,332.34	$6,185.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,582.12 / $1,582.12 / $1,582.12	Professional		$1,582.12	$1,582.12	$1,582.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $232.26 / $797.96 / $936.70	Facility		$232.26	$797.96	$936.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $356.63 / $488.53 / $755.97	Professional		$356.63	$488.53	$755.97
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,703.56 / $1,703.56 / $1,703.56	Professional		$1,703.56	$1,703.56	$1,703.56
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $722.06 / $733.55 / $953.62	Professional		$722.06	$733.55	$953.62
United Facility/Professional Professional Modifier Low / Median / High Price $338.65 / $370.01 / $873.32	Professional		$338.65	$370.01	$873.32