Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $613.05 / $613.05 / $3,926.79	Facility		$613.05	$613.05	$3,926.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $480.91 / $613.05 / $3,926.79	Professional		$480.91	$613.05	$3,926.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $465.55 / $1,917.91 / $4,320.18	Facility		$465.55	$1,917.91	$4,320.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $511.39 / $623.60 / $949.29	Professional		$511.39	$623.60	$949.29
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $1,611.29 / $2,877.30	Facility		$97.00	$1,611.29	$2,877.30
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,805.80 / $4,206.32	Professional		$100.00	$1,805.80	$4,206.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $636.55 / $660.31 / $727.50	Facility		$636.55	$660.31	$727.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $482.03 / $482.03 / $703.92	Professional		$482.03	$482.03	$703.92
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $689.08 / $826.90 / $1,497.09	Professional		$689.08	$826.90	$1,497.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $816.59 / $952.69 / $2,068.69	Professional		$816.59	$952.69	$2,068.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,133.46 / $5,316.36 / $6,464.70	Facility		$2,133.46	$5,316.36	$6,464.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,152.70 / $8,348.36 / $8,348.36	Professional		$8,152.70	$8,348.36	$8,348.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,384.74 / $2,384.74 / $2,384.74	Professional		$2,384.74	$2,384.74	$2,384.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $328.75 / $1,156.83 / $1,379.39	Facility		$328.75	$1,156.83	$1,379.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $482.03 / $660.31 / $996.82	Professional		$482.03	$660.31	$996.82
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,568.82 / $2,568.82 / $2,568.82	Professional		$2,568.82	$2,568.82	$2,568.82
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $689.08 / $1,088.79 / $1,088.79	Professional		$689.08	$1,088.79	$1,088.79
United Facility/Professional Professional Modifier Low / Median / High Price $479.34 / $580.36 / $1,262.64	Professional		$479.34	$580.36	$1,262.64