Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $470.83 / $470.83 / $2,471.30	Facility		$470.83	$470.83	$2,471.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $374.24 / $470.83 / $2,471.30	Professional		$374.24	$470.83	$2,471.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $357.54 / $1,299.48 / $2,718.85	Facility		$357.54	$1,299.48	$2,718.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $439.64 / $476.72 / $816.10	Professional		$439.64	$476.72	$816.10
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $98.20 / $1,014.04 / $1,810.79	Facility		$98.20	$1,014.04	$1,810.79
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,136.46 / $2,647.21	Professional		$100.00	$1,136.46	$2,647.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $624.54 / $624.54 / $680.44	Facility		$624.54	$624.54	$680.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $455.91 / $455.91 / $665.79	Professional		$455.91	$455.91	$665.79
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $457.84 / $549.41 / $942.17	Professional		$457.84	$549.41	$942.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $513.91 / $599.55 / $1,301.91	Professional		$513.91	$599.55	$1,301.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,474.25 / $4,086.48 / $4,086.48	Facility		$1,474.25	$4,086.48	$4,086.48
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,418.01 / $4,418.01 / $6,423.90	Professional		$4,418.01	$4,418.01	$6,423.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,808.59 / $1,808.59 / $1,808.59	Professional		$1,808.59	$1,808.59	$1,808.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $252.48 / $772.42 / $882.24	Facility		$252.48	$772.42	$882.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $455.91 / $624.54 / $815.25	Professional		$455.91	$624.54	$815.25
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,616.67 / $1,616.67 / $1,616.67	Professional		$1,616.67	$1,616.67	$1,616.67
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $457.84 / $685.22 / $686.76	Professional		$457.84	$685.22	$686.76
United Facility/Professional Professional Modifier Low / Median / High Price $368.14 / $427.31 / $856.55	Professional		$368.14	$427.31	$856.55