Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $475.06 / $475.06 / $3,042.91	Facility		$475.06	$475.06	$3,042.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $367.08 / $475.06 / $3,042.91	Professional		$367.08	$475.06	$3,042.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $360.75 / $1,486.20 / $3,347.74	Facility		$360.75	$1,486.20	$3,347.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $385.87 / $481.00 / $786.75	Professional		$385.87	$481.00	$786.75
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $1,248.59 / $2,229.65	Facility		$97.00	$1,248.59	$2,229.65
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,399.34 / $3,259.51	Professional		$100.00	$1,399.34	$3,259.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $493.28 / $494.25 / $563.74	Facility		$493.28	$494.25	$563.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.80 / $360.80 / $526.90	Professional		$360.80	$360.80	$526.90
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $396.89 / $476.27 / $1,160.09	Professional		$396.89	$476.27	$1,160.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $632.78 / $738.25 / $1,603.05	Professional		$632.78	$738.25	$1,603.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,605.69 / $5,009.54 / $5,009.54	Facility		$1,605.69	$5,009.54	$5,009.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,062.27 / $5,062.27 / $5,932.35	Professional		$5,062.27	$5,062.27	$5,932.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,621.50 / $1,621.50 / $1,621.50	Professional		$1,621.50	$1,621.50	$1,621.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $254.75 / $880.85 / $1,054.64	Facility		$254.75	$880.85	$1,054.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $360.80 / $494.25 / $937.05	Professional		$360.80	$494.25	$937.05
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,990.60 / $1,990.60 / $1,990.60	Professional		$1,990.60	$1,990.60	$1,990.60
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $396.89 / $674.71 / $843.71	Professional		$396.89	$674.71	$843.71
United Facility/Professional Professional Modifier Low / Median / High Price $358.31 / $394.61 / $1,020.47	Professional		$358.31	$394.61	$1,020.47