Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $361.14 / $361.14 / $1,927.72	Facility		$361.14	$361.14	$1,927.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $291.92 / $361.14 / $1,927.72	Professional		$291.92	$361.14	$1,927.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $263.02 / $316.79 / $837.56	Facility		$263.02	$316.79	$837.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $256.72 / $361.14 / $763.13	Professional		$256.72	$361.14	$763.13
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $886.50 / $2,064.94	Professional		$100.00	$886.50	$2,064.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $345.26 / $375.74 / $375.74	Facility		$345.26	$375.74	$375.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $319.38 / $319.38 / $774.75	Professional		$319.38	$319.38	$774.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $534.50 / $668.13 / $801.76	Professional		$534.50	$668.13	$801.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $400.88 / $467.69 / $1,015.56	Professional		$400.88	$467.69	$1,015.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,356.30 / $3,173.62 / $3,173.62	Facility		$1,356.30	$3,173.62	$3,173.62
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,327.29 / $3,327.29 / $5,010.97	Professional		$3,327.29	$3,327.29	$5,010.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,369.66 / $1,369.66 / $1,369.66	Professional		$1,369.66	$1,369.66	$1,369.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $193.66 / $590.66 / $677.15	Facility		$193.66	$590.66	$677.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $319.38 / $319.38 / $643.54	Professional		$319.38	$319.38	$643.54
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,261.07 / $1,261.07 / $1,261.07	Professional		$1,261.07	$1,261.07	$1,261.07
United Facility/Professional Professional Modifier Low / Median / High Price $282.38 / $330.35 / $668.13	Professional		$282.38	$330.35	$668.13