Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $692.26 / $692.26 / $4,434.10	Facility		$692.26	$692.26	$4,434.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $515.63 / $692.26 / $4,434.10	Professional		$515.63	$692.26	$4,434.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $525.69 / $2,165.69 / $4,878.35	Facility		$525.69	$2,165.69	$4,878.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $577.47 / $704.17 / $1,071.94	Professional		$577.47	$704.17	$1,071.94
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $1,819.46 / $3,249.04	Facility		$97.00	$1,819.46	$3,249.04
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $2,039.10 / $4,749.77	Professional		$100.00	$2,039.10	$4,749.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $718.81 / $812.21 / $821.50	Facility		$718.81	$812.21	$821.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $592.91 / $592.91 / $836.58	Professional		$592.91	$592.91	$836.58
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $728.70 / $874.44 / $1,690.51	Professional		$728.70	$874.44	$1,690.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $922.10 / $1,075.78 / $2,335.98	Professional		$922.10	$1,075.78	$2,335.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,339.82 / $6,156.07 / $7,299.94	Facility		$2,339.82	$6,156.07	$7,299.94
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,214.44 / $8,411.58 / $9,264.60	Professional		$8,214.44	$8,411.58	$9,264.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,391.14 / $2,391.14 / $2,391.14	Professional		$2,391.14	$2,391.14	$2,391.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $371.23 / $1,306.31 / $1,557.60	Facility		$371.23	$1,306.31	$1,557.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $592.91 / $812.21 / $1,125.60	Professional		$592.91	$812.21	$1,125.60
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,900.69 / $2,900.69 / $2,900.69	Professional		$2,900.69	$2,900.69	$2,900.69
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $728.70 / $1,229.46 / $1,229.46	Professional		$728.70	$1,229.46	$1,229.46
United Facility/Professional Professional Modifier Low / Median / High Price $547.19 / $692.96 / $2,155.09	Professional		$547.19	$692.96	$2,155.09