Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $475.74 / $475.74 / $2,285.44	Facility		$475.74	$475.74	$2,285.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $378.08 / $475.74 / $2,285.44	Professional		$378.08	$475.74	$2,285.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $361.27 / $1,214.30 / $2,514.39	Facility		$361.27	$1,214.30	$2,514.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $387.54 / $600.00 / $738.82	Professional		$387.54	$600.00	$738.82
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $937.78 / $1,674.61	Facility		$97.00	$937.78	$1,674.61
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,050.99 / $2,448.11	Professional		$100.00	$1,050.99	$2,448.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $370.49 / $703.94 / $703.94	Facility		$370.49	$703.94	$703.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $598.35 / $598.35 / $725.06	Professional		$598.35	$598.35	$725.06
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $339.06 / $406.87 / $871.32	Professional		$339.06	$406.87	$871.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $475.27 / $554.48 / $1,204.01	Professional		$475.27	$554.48	$1,204.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,489.17 / $4,062.38 / $4,062.38	Facility		$1,489.17	$4,062.38	$4,062.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,638.25 / $4,638.25 / $6,841.20	Professional		$4,638.25	$4,638.25	$6,841.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,912.85 / $1,912.85 / $1,912.85	Professional		$1,912.85	$1,912.85	$1,912.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $255.12 / $703.94 / $831.72	Facility		$255.12	$703.94	$831.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $598.35 / $703.94 / $820.49	Professional		$598.35	$703.94	$820.49
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,495.09 / $1,495.09 / $1,495.09	Professional		$1,495.09	$1,495.09	$1,495.09
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $339.06 / $576.40 / $633.69	Professional		$339.06	$576.40	$633.69
United Facility/Professional Professional Modifier Low / Median / High Price $371.98 / $395.18 / $792.11	Professional		$371.98	$395.18	$792.11