Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $810.61 / $810.61 / $4,415.99	Facility		$810.61	$810.61	$4,415.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $641.05 / $810.61 / $4,415.99	Professional		$641.05	$810.61	$4,415.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $819.38 / $2,444.75 / $4,858.42	Facility		$819.38	$2,444.75	$4,858.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $811.42 / $1,092.50 / $1,427.03	Professional		$811.42	$1,092.50	$1,427.03
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $98.20 / $1,812.03 / $3,235.76	Facility		$98.20	$1,812.03	$3,235.76
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $2,030.78 / $4,730.37	Professional		$100.00	$2,030.78	$4,730.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $843.35 / $843.35 / $1,204.26	Facility		$843.35	$843.35	$1,204.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $716.85 / $716.85 / $868.65	Professional		$716.85	$716.85	$868.65
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $920.17 / $1,104.20 / $1,683.61	Professional		$920.17	$1,104.20	$1,683.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $918.33 / $1,071.39 / $2,326.44	Professional		$918.33	$1,071.39	$2,326.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,114.91 / $7,017.00 / $7,270.11	Facility		$3,114.91	$7,017.00	$7,270.11
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,615.67 / $7,615.67 / $10,932.23	Professional		$7,615.67	$7,615.67	$10,932.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,077.87 / $3,077.87 / $3,077.87	Professional		$3,077.87	$3,077.87	$3,077.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $456.43 / $1,501.40 / $1,551.23	Facility		$456.43	$1,501.40	$1,551.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $716.85 / $843.35 / $1,441.24	Professional		$716.85	$843.35	$1,441.24
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,888.84 / $2,888.84 / $2,888.84	Professional		$2,888.84	$2,888.84	$2,888.84
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $920.17 / $1,224.44 / $1,377.50	Professional		$920.17	$1,224.44	$1,377.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,529.61 / $1,799.54 / $1,799.54	Facility		$1,529.61	$1,799.54	$1,799.54
United Facility/Professional Professional Modifier Low / Median / High Price $640.73 / $749.03 / $1,422.19	Professional		$640.73	$749.03	$1,422.19