Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.50 / $407.50 / $2,610.17	Facility		$407.50	$407.50	$2,610.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $303.52 / $407.50 / $2,610.17	Professional		$303.52	$407.50	$2,610.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $309.45 / $1,274.84 / $2,871.66	Facility		$309.45	$1,274.84	$2,871.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $357.23 / $411.21 / $663.14	Professional		$357.23	$411.21	$663.14
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $1,071.02 / $1,912.54	Facility		$97.00	$1,071.02	$1,912.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,200.33 / $2,795.96	Professional		$100.00	$1,200.33	$2,795.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $423.12 / $472.30 / $483.57	Facility		$423.12	$472.30	$483.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $344.78 / $344.78 / $503.49	Professional		$344.78	$344.78	$503.49
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $393.19 / $471.83 / $995.13	Professional		$393.19	$471.83	$995.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $542.79 / $633.26 / $1,375.08	Professional		$542.79	$633.26	$1,375.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,447.49 / $3,612.91 / $4,297.14	Facility		$1,447.49	$3,612.91	$4,297.14
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,087.52 / $5,209.60 / $5,209.60	Professional		$5,087.52	$5,209.60	$5,209.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,482.56 / $1,482.56 / $1,482.56	Professional		$1,482.56	$1,482.56	$1,482.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $218.52 / $725.35 / $917.80	Facility		$218.52	$725.35	$917.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $344.78 / $472.30 / $739.82	Professional		$344.78	$472.30	$739.82
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,707.51 / $1,707.51 / $1,707.51	Professional		$1,707.51	$1,707.51	$1,707.51
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $393.19 / $668.42 / $723.73	Professional		$393.19	$668.42	$723.73
United Facility/Professional Professional Modifier Low / Median / High Price $321.51 / $388.49 / $880.46	Professional		$321.51	$388.49	$880.46