Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $403.14 / $403.14 / $2,582.13	Facility		$403.14	$403.14	$2,582.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $300.27 / $403.14 / $2,582.13	Professional		$300.27	$403.14	$2,582.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $306.14 / $1,261.16 / $2,840.84	Facility		$306.14	$1,261.16	$2,840.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $386.81 / $408.18 / $718.04	Professional		$386.81	$408.18	$718.04
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $1,059.54 / $1,892.03	Facility		$97.00	$1,059.54	$1,892.03
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,187.44 / $2,765.95	Professional		$100.00	$1,187.44	$2,765.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $418.59 / $419.41 / $478.38	Facility		$418.59	$419.41	$478.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.17 / $306.17 / $895.13	Professional		$306.17	$306.17	$895.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $413.00 / $495.60 / $984.45	Professional		$413.00	$495.60	$984.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $536.97 / $626.47 / $1,360.32	Professional		$536.97	$626.47	$1,360.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,358.97 / $3,569.44 / $4,251.01	Facility		$1,358.97	$3,569.44	$4,251.01
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,296.24 / $4,399.34 / $5,106.00	Professional		$4,296.24	$4,399.34	$5,106.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,750.74 / $1,750.74 / $1,750.74	Professional		$1,750.74	$1,750.74	$1,750.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $216.18 / $760.71 / $894.95	Facility		$216.18	$760.71	$894.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $306.17 / $306.17 / $760.71	Professional		$306.17	$306.17	$760.71
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,689.17 / $1,689.17 / $1,689.17	Professional		$1,689.17	$1,689.17	$1,689.17
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $413.00 / $702.10 / $715.96	Professional		$413.00	$702.10	$715.96
United Facility/Professional Professional Modifier Low / Median / High Price $315.20 / $358.79 / $865.94	Professional		$315.20	$358.79	$865.94