Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $403.70 / $403.70 / $2,585.81	Facility		$403.70	$403.70	$2,585.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.98 / $403.70 / $2,585.81	Professional		$318.98	$403.70	$2,585.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $306.56 / $1,262.97 / $2,844.90	Facility		$306.56	$1,262.97	$2,844.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.00 / $409.90 / $659.79	Professional		$346.00	$409.90	$659.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $1,061.04 / $1,894.72	Facility		$97.00	$1,061.04	$1,894.72
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,189.14 / $2,769.88	Professional		$100.00	$1,189.14	$2,769.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $419.18 / $420.01 / $479.06	Facility		$419.18	$420.01	$479.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.61 / $306.61 / $447.75	Professional		$306.61	$306.61	$447.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $332.32 / $398.78 / $985.85	Professional		$332.32	$398.78	$985.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $537.74 / $627.36 / $1,362.27	Professional		$537.74	$627.36	$1,362.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,440.18 / $3,565.60 / $4,257.09	Facility		$1,440.18	$3,565.60	$4,257.09
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,843.43 / $4,959.68 / $6,361.13	Professional		$4,843.43	$4,959.68	$6,361.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,493.56 / $1,493.56 / $1,493.56	Professional		$1,493.56	$1,493.56	$1,493.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $216.49 / $728.57 / $909.24	Facility		$216.49	$728.57	$909.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $306.61 / $420.01 / $723.75	Professional		$306.61	$420.01	$723.75
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,691.58 / $1,691.58 / $1,691.58	Professional		$1,691.58	$1,691.58	$1,691.58
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $332.32 / $564.94 / $716.98	Professional		$332.32	$564.94	$716.98
United Facility/Professional Professional Modifier Low / Median / High Price $315.64 / $395.23 / $872.24	Professional		$315.64	$395.23	$872.24