Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $6,760.83	Facility		$831.76	$831.76	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $851.14 / $5,888.44	Professional		$630.96	$851.14	$5,888.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $794.33 / $3,388.44	Facility		$630.96	$794.33	$3,388.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $1,862.09	Professional		$851.14	$851.14	$1,862.09
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,691.53 / $3,630.78	Facility		$100.00	$2,691.53	$3,630.78
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,951.21 / $5,011.87	Professional		$1,513.56	$2,951.21	$5,011.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,096.48 / $1,096.48	Facility		$724.44	$1,096.48	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $1,096.48	Professional		$812.83	$812.83	$1,096.48
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $741.31 / $1,905.46	Professional		$588.84	$741.31	$1,905.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,412.54 / $2,511.89	Professional		$954.99	$1,412.54	$2,511.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $7,413.10 / $7,413.10	Facility		$7,413.10	$7,413.10	$7,413.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,128.31 / $12,589.25 / $12,589.25	Professional		$8,128.31	$12,589.25	$12,589.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Professional		$1,584.89	$1,584.89	$1,584.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,412.54 / $1,995.26	Facility		$501.19	$1,412.54	$1,995.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $1,548.82	Professional		$812.83	$812.83	$1,548.82
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $2,951.21	Professional		$2,951.21	$2,951.21	$2,951.21
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $891.25 / $1,412.54	Professional		$588.84	$891.25	$1,412.54
United Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $912.01 / $1,862.09	Facility		$114.82	$912.01	$1,862.09
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $831.76 / $1,548.82	Professional		$645.65	$831.76	$1,548.82