Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $462.41 / $462.41 / $2,221.39	Facility		$462.41	$462.41	$2,221.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $353.97 / $462.41 / $2,221.39	Professional		$353.97	$462.41	$2,221.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $351.14 / $1,180.27 / $2,443.92	Facility		$351.14	$1,180.27	$2,443.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $431.52 / $470.36 / $853.56	Professional		$431.52	$470.36	$853.56
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $911.51 / $1,627.70	Facility		$97.00	$911.51	$1,627.70
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,021.54 / $2,379.52	Professional		$100.00	$1,021.54	$2,379.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $360.10 / $496.34 / $496.34	Facility		$360.10	$496.34	$496.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $362.33 / $362.33 / $998.63	Professional		$362.33	$362.33	$998.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $247.89 / $297.47 / $846.90	Professional		$247.89	$297.47	$846.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $461.95 / $538.94 / $1,170.26	Professional		$461.95	$538.94	$1,170.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,603.98 / $3,942.99 / $3,942.99	Facility		$1,603.98	$3,942.99	$3,942.99
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,278.29 / $4,278.29 / $5,774.33	Professional		$4,278.29	$4,278.29	$5,774.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,657.38 / $1,657.38 / $1,657.38	Professional		$1,657.38	$1,657.38	$1,657.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $247.97 / $680.67 / $808.48	Facility		$247.97	$680.67	$808.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $362.33 / $362.33 / $822.65	Professional		$362.33	$362.33	$822.65
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,453.18 / $1,453.18 / $1,453.18	Professional		$1,453.18	$1,453.18	$1,453.18
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $247.89 / $421.41 / $615.92	Professional		$247.89	$421.41	$615.92
United Facility/Professional Professional Modifier Low / Median / High Price $365.51 / $419.70 / $1,112.17	Professional		$365.51	$419.70	$1,112.17