Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $856.75 / $856.75 / $5,039.00	Facility		$856.75	$856.75	$5,039.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $668.76 / $856.75 / $5,039.00	Professional		$668.76	$856.75	$5,039.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $650.60 / $2,520.85 / $5,543.82	Facility		$650.60	$2,520.85	$5,543.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $859.43 / $866.54 / $1,651.98	Professional		$859.43	$866.54	$1,651.98
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $2,067.67 / $3,692.29	Facility		$97.00	$2,067.67	$3,692.29
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $2,317.27 / $5,397.69	Professional		$100.00	$2,317.27	$5,397.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $816.30 / $891.35 / $933.56	Facility		$816.30	$891.35	$933.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $650.69 / $650.69 / $1,258.68	Professional		$650.69	$650.69	$1,258.68
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $612.55 / $735.07 / $1,921.12	Professional		$612.55	$735.07	$1,921.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,047.88 / $1,222.53 / $2,654.63	Professional		$1,047.88	$1,222.53	$2,654.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,605.93 / $8,295.73 / $8,295.73	Facility		$3,605.93	$8,295.73	$8,295.73
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,383.06 / $8,383.06 / $10,698.60	Professional		$8,383.06	$8,383.06	$10,698.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,954.09 / $2,954.09 / $2,954.09	Professional		$2,954.09	$2,954.09	$2,954.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $459.43 / $1,458.69 / $1,770.09	Facility		$459.43	$1,458.69	$1,770.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $650.69 / $891.35 / $1,484.50	Professional		$650.69	$891.35	$1,484.50
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,296.40 / $3,296.40 / $3,296.40	Professional		$3,296.40	$3,296.40	$3,296.40
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $612.55 / $1,041.34 / $1,397.18	Professional		$612.55	$1,041.34	$1,397.18
United Facility/Professional Professional Modifier Low / Median / High Price $646.17 / $711.65 / $1,661.71	Professional		$646.17	$711.65	$1,661.71