Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $376.41 / $376.41 / $2,410.98	Facility		$376.41	$376.41	$2,410.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $284.89 / $376.41 / $2,410.98	Professional		$284.89	$376.41	$2,410.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $285.83 / $1,177.56 / $2,652.51	Facility		$285.83	$1,177.56	$2,652.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $362.97 / $382.88 / $673.77	Professional		$362.97	$382.88	$673.77
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $989.30 / $1,766.60	Facility		$97.00	$989.30	$1,766.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,108.73 / $2,582.59	Professional		$100.00	$1,108.73	$2,582.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $390.84 / $468.67 / $468.67	Facility		$390.84	$468.67	$468.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $342.13 / $342.13 / $482.73	Professional		$342.13	$342.13	$482.73
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $359.38 / $431.26 / $919.18	Professional		$359.38	$431.26	$919.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $501.37 / $584.92 / $1,270.14	Professional		$501.37	$584.92	$1,270.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,255.05 / $3,286.44 / $3,969.20	Facility		$1,255.05	$3,286.44	$3,969.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,010.98 / $4,062.83 / $5,115.60	Professional		$4,010.98	$4,062.83	$5,115.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,333.93 / $1,333.93 / $1,333.93	Professional		$1,333.93	$1,333.93	$1,333.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $201.85 / $698.82 / $835.62	Facility		$201.85	$698.82	$835.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $342.13 / $468.67 / $710.28	Professional		$342.13	$468.67	$710.28
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,577.21 / $1,577.21 / $1,577.21	Professional		$1,577.21	$1,577.21	$1,577.21
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $359.38 / $610.95 / $668.50	Professional		$359.38	$610.95	$668.50
United Facility/Professional Facility Modifier Low / Median / High Price $383.20 / $383.20 / $383.20	Facility		$383.20	$383.20	$383.20
United Facility/Professional Professional Modifier Low / Median / High Price $294.31 / $339.94 / $835.62	Professional		$294.31	$339.94	$835.62