Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $345.33 / $345.33 / $1,658.94	Facility		$345.33	$345.33	$1,658.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.22 / $345.33 / $1,658.94	Professional		$257.22	$345.33	$1,658.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $262.24 / $881.44 / $1,825.16	Facility		$262.24	$881.44	$1,825.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $344.25 / $349.65 / $639.02	Professional		$344.25	$349.65	$639.02
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $680.71 / $1,215.55	Facility		$97.00	$680.71	$1,215.55
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $762.89 / $1,777.05	Professional		$100.00	$762.89	$1,777.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $268.93 / $444.49 / $444.49	Facility		$268.93	$444.49	$444.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $324.48 / $324.48 / $457.82	Professional		$324.48	$324.48	$457.82
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $280.56 / $336.67 / $632.48	Professional		$280.56	$336.67	$632.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $344.99 / $402.49 / $873.97	Professional		$344.99	$402.49	$873.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,394.85 / $3,066.52 / $3,066.52	Facility		$1,394.85	$3,066.52	$3,066.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,817.82 / $3,817.82 / $4,312.35	Professional		$3,817.82	$3,817.82	$4,312.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,270.05 / $1,270.05 / $1,270.05	Professional		$1,270.05	$1,270.05	$1,270.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $185.18 / $508.32 / $619.54	Facility		$185.18	$508.32	$619.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $324.48 / $444.49 / $627.26	Professional		$324.48	$444.49	$627.26
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,085.24 / $1,085.24 / $1,085.24	Professional		$1,085.24	$1,085.24	$1,085.24
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $280.56 / $459.98 / $459.98	Professional		$280.56	$459.98	$459.98
United Facility/Professional Facility Modifier Low / Median / High Price $108.00 / $108.00 / $108.00	Facility		$108.00	$108.00	$108.00
United Facility/Professional Professional Modifier Low / Median / High Price $270.01 / $291.88 / $580.10	Professional		$270.01	$291.88	$580.10