Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $3,548.13	Facility		$371.54	$371.54	$3,548.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $371.54 / $3,162.28	Professional		$263.03	$371.54	$3,162.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $354.81 / $1,621.81	Facility		$281.84	$354.81	$1,621.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $891.25	Professional		$371.54	$371.54	$891.25
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,445.44 / $1,905.46	Facility		$100.00	$1,445.44	$1,905.46
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,548.82 / $2,630.27	Professional		$794.33	$1,548.82	$2,630.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $457.09 / $457.09	Facility		$380.19	$457.09	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $457.09	Professional		$331.13	$331.13	$457.09
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $489.78 / $1,000.00	Professional		$389.05	$489.78	$1,000.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $758.58 / $1,348.96	Professional		$501.19	$758.58	$1,348.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Facility		$3,890.45	$3,890.45	$3,890.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $4,570.88 / $4,570.88	Professional		$4,365.16	$4,570.88	$4,570.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Professional		$660.69	$660.69	$660.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $676.08 / $1,000.00	Facility		$223.87	$676.08	$1,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $602.56	Professional		$331.13	$331.13	$602.56
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Professional		$1,548.82	$1,548.82	$1,548.82
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $588.84 / $758.58	Professional		$389.05	$588.84	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $407.38 / $831.76	Facility		$50.12	$407.38	$831.76
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $371.54 / $812.83	Professional		$288.40	$371.54	$812.83