Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $448.43 / $1,437.26 / $4,294.46	Facility		$448.43	$1,437.26	$4,294.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $325.86 / $496.27 / $508.22	Professional		$325.86	$496.27	$508.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $556.89 / $1,154.98 / $2,976.99	Facility		$556.89	$1,154.98	$2,976.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.16 / $310.89 / $1,088.19	Professional		$239.16	$310.89	$1,088.19
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $58.70 / $100.00 / $5,423.04	Facility		$58.70	$100.00	$5,423.04
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $272.05 / $388.64 / $977.00	Professional		$272.05	$388.64	$977.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $406.42 / $1,002.69 / $2,001.50	Facility		$406.42	$1,002.69	$2,001.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $597.91 / $657.70 / $807.18	Professional		$597.91	$657.70	$807.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $538.12 / $687.60 / $1,303.44	Professional		$538.12	$687.60	$1,303.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,040.35 / $2,840.07 / $2,840.07	Facility		$1,040.35	$2,840.07	$2,840.07
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,989.55 / $2,989.55 / $4,484.33	Professional		$2,989.55	$2,989.55	$4,484.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $478.33 / $717.49 / $1,715.07	Facility		$478.33	$717.49	$1,715.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $597.91 / $657.70 / $896.87	Professional		$597.91	$657.70	$896.87
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $597.91 / $597.91 / $597.91	Professional		$597.91	$597.91	$597.91
United Facility/Professional Facility Modifier Low / Median / High Price $251.12 / $597.91 / $597.91	Facility		$251.12	$597.91	$597.91
United Facility/Professional Professional Modifier Low / Median / High Price $251.12 / $269.06 / $1,320.19	Professional		$251.12	$269.06	$1,320.19