Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $525.74 / $525.74 / $3,367.46	Facility		$525.74	$525.74	$3,367.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $391.59 / $525.74 / $3,367.46	Professional		$391.59	$525.74	$3,367.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $399.24 / $1,644.73 / $3,704.85	Facility		$399.24	$1,644.73	$3,704.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $474.71 / $532.32 / $881.19	Professional		$474.71	$532.32	$881.19
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $98.20 / $1,381.78 / $2,467.46	Facility		$98.20	$1,381.78	$2,467.46
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,548.59 / $3,607.22	Professional		$100.00	$1,548.59	$3,607.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $545.90 / $612.94 / $623.88	Facility		$545.90	$612.94	$623.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $447.45 / $447.45 / $653.41	Professional		$447.45	$447.45	$653.41
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $623.88 / $748.66 / $1,283.84	Professional		$623.88	$748.66	$1,283.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $700.28 / $817.00 / $1,774.05	Professional		$700.28	$817.00	$1,774.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,923.47 / $4,719.35 / $5,543.92	Facility		$1,923.47	$4,719.35	$5,543.92
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,654.78 / $6,814.49 / $6,814.49	Professional		$6,654.78	$6,814.49	$6,814.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,959.22 / $1,959.22 / $1,959.22	Professional		$1,959.22	$1,959.22	$1,959.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $281.93 / $955.72 / $1,184.09	Facility		$281.93	$955.72	$1,184.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $447.45 / $612.94 / $893.56	Professional		$447.45	$612.94	$893.56
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,202.92 / $2,202.92 / $2,202.92	Professional		$2,202.92	$2,202.92	$2,202.92
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $623.88 / $933.71 / $935.82	Professional		$623.88	$933.71	$935.82
United Facility/Professional Facility Modifier Low / Median / High Price $278.16 / $577.08 / $672.95	Facility		$278.16	$577.08	$672.95
United Facility/Professional Professional Modifier Low / Median / High Price $411.07 / $512.90 / $1,283.84	Professional		$411.07	$512.90	$1,283.84