Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $485.72 / $485.72 / $2,495.80	Facility		$485.72	$485.72	$2,495.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $368.83 / $485.72 / $2,495.80	Professional		$368.83	$485.72	$2,495.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $368.84 / $1,326.09 / $2,745.86	Facility		$368.84	$1,326.09	$2,745.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.51 / $491.79 / $849.26	Professional		$457.51	$491.79	$849.26
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $1,024.09 / $1,828.75	Facility		$97.00	$1,024.09	$1,828.75
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,147.75 / $2,673.47	Professional		$100.00	$1,147.75	$2,673.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $404.58 / $649.92 / $649.92	Facility		$404.58	$649.92	$649.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $474.45 / $474.45 / $692.86	Professional		$474.45	$474.45	$692.86
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $350.18 / $420.22 / $951.53	Professional		$350.18	$420.22	$951.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $519.02 / $605.52 / $1,314.85	Professional		$519.02	$605.52	$1,314.85
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,853.76 / $4,313.20 / $4,313.20	Facility		$1,853.76	$4,313.20	$4,313.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,369.93 / $5,369.93 / $8,087.25	Professional		$5,369.93	$5,369.93	$8,087.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,755.27 / $1,755.27 / $1,755.27	Professional		$1,755.27	$1,755.27	$1,755.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $260.47 / $764.75 / $908.28	Facility		$260.47	$764.75	$908.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $474.45 / $649.92 / $908.56	Professional		$474.45	$649.92	$908.56
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,632.69 / $1,632.69 / $1,632.69	Professional		$1,632.69	$1,632.69	$1,632.69
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $350.18 / $595.30 / $692.02	Professional		$350.18	$595.30	$692.02
United Facility/Professional Professional Modifier Low / Median / High Price $379.78 / $431.55 / $836.99	Professional		$379.78	$431.55	$836.99