Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $383.39 / $383.39 / $2,455.71	Facility		$383.39	$383.39	$2,455.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $311.70 / $383.39 / $2,455.71	Professional		$311.70	$383.39	$2,455.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $291.14 / $1,199.41 / $2,701.74	Facility		$291.14	$1,199.41	$2,701.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $319.82 / $389.98 / $606.46	Professional		$319.82	$389.98	$606.46
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $1,007.67 / $1,799.41	Facility		$97.00	$1,007.67	$1,799.41
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,129.31 / $2,630.51	Professional		$100.00	$1,129.31	$2,630.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.10 / $412.94 / $454.97	Facility		$398.10	$412.94	$454.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $301.45 / $301.45 / $440.22	Professional		$301.45	$301.45	$440.22
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $272.66 / $327.19 / $936.24	Professional		$272.66	$327.19	$936.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $510.68 / $595.79 / $1,293.72	Professional		$510.68	$595.79	$1,293.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,295.84 / $3,399.27 / $4,042.87	Facility		$1,295.84	$3,399.27	$4,042.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,786.20 / $4,901.09 / $4,901.09	Professional		$4,786.20	$4,901.09	$4,901.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,744.81 / $1,744.81 / $1,744.81	Professional		$1,744.81	$1,744.81	$1,744.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $205.60 / $723.46 / $862.64	Facility		$205.60	$723.46	$862.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $301.45 / $412.94 / $703.55	Professional		$301.45	$412.94	$703.55
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,606.47 / $1,606.47 / $1,606.47	Professional		$1,606.47	$1,606.47	$1,606.47
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $272.66 / $463.52 / $680.90	Professional		$272.66	$463.52	$680.90
United Facility/Professional Professional Modifier Low / Median / High Price $303.05 / $383.39 / $808.62	Professional		$303.05	$383.39	$808.62