Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $798.83 / $798.83 / $4,192.77	Facility		$798.83	$798.83	$4,192.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $634.92 / $798.83 / $4,192.77	Professional		$634.92	$798.83	$4,192.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $606.62 / $2,204.76 / $4,612.83	Facility		$606.62	$2,204.76	$4,612.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $726.32 / $804.54 / $1,384.68	Professional		$726.32	$804.54	$1,384.68
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $1,720.43 / $3,072.19	Facility		$97.00	$1,720.43	$3,072.19
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,928.13 / $4,491.25	Professional		$100.00	$1,928.13	$4,491.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $831.10 / $831.10 / $1,154.42	Facility		$831.10	$831.10	$1,154.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $606.70 / $606.70 / $1,195.75	Professional		$606.70	$606.70	$1,195.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $776.78 / $932.14 / $1,598.50	Professional		$776.78	$932.14	$1,598.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $871.91 / $1,017.23 / $2,208.83	Professional		$871.91	$1,017.23	$2,208.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,501.35 / $6,933.23 / $6,933.23	Facility		$2,501.35	$6,933.23	$6,933.23
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,495.95 / $7,495.95 / $10,898.85	Professional		$7,495.95	$7,495.95	$10,898.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,068.44 / $3,068.44 / $3,068.44	Professional		$3,068.44	$3,068.44	$3,068.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $428.38 / $1,310.48 / $1,496.80	Facility		$428.38	$1,310.48	$1,496.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $606.70 / $831.10 / $1,329.47	Professional		$606.70	$831.10	$1,329.47
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,742.81 / $2,742.81 / $2,742.81	Professional		$2,742.81	$2,742.81	$2,742.81
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $776.78 / $1,162.54 / $1,165.17	Professional		$776.78	$1,162.54	$1,165.17
United Facility/Professional Professional Modifier Low / Median / High Price $602.50 / $663.55 / $1,453.18	Professional		$602.50	$663.55	$1,453.18