Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $525.40 / $525.40 / $3,365.28	Facility		$525.40	$525.40	$3,365.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $445.86 / $525.40 / $3,365.28	Professional		$445.86	$525.40	$3,365.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.98 / $1,643.65 / $3,702.41	Facility		$398.98	$1,643.65	$3,702.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $521.32 / $534.42 / $967.71	Professional		$521.32	$534.42	$967.71
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $1,380.89 / $2,465.87	Facility		$97.00	$1,380.89	$2,465.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,547.58 / $3,604.80	Professional		$100.00	$1,547.58	$3,604.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $545.54 / $673.11 / $673.11	Facility		$545.54	$673.11	$673.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $491.37 / $491.37 / $693.30	Professional		$491.37	$491.37	$693.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $520.11 / $624.13 / $1,283.01	Professional		$520.11	$624.13	$1,283.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $699.82 / $816.46 / $1,772.88	Professional		$699.82	$816.46	$1,772.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,946.69 / $4,663.25 / $5,540.26	Facility		$1,946.69	$4,663.25	$5,540.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,154.20 / $6,301.89 / $6,560.85	Professional		$6,154.20	$6,301.89	$6,560.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,087.63 / $2,087.63 / $2,087.63	Professional		$2,087.63	$2,087.63	$2,087.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $281.75 / $1,013.14 / $1,183.33	Facility		$281.75	$1,013.14	$1,183.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $491.37 / $673.11 / $854.28	Professional		$491.37	$673.11	$854.28
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,201.48 / $2,201.48 / $2,201.48	Professional		$2,201.48	$2,201.48	$2,201.48
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $520.11 / $884.19 / $933.10	Professional		$520.11	$884.19	$933.10
United Facility/Professional Professional Modifier Low / Median / High Price $415.30 / $508.05 / $1,034.39	Professional		$415.30	$508.05	$1,034.39