Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $705.30 / $5,505.00 / $16,973.00	Facility		$705.30	$5,505.00	$16,973.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $339.25 / $588.79 / $1,120.86	Professional		$339.25	$588.79	$1,120.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,160.00 / $5,944.00 / $13,697.00	Facility		$2,160.00	$5,944.00	$13,697.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $369.74 / $619.83 / $1,391.98	Professional		$369.74	$619.83	$1,391.98
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,010.49	Facility		$66.00	$100.00	$7,010.49
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $415.52 / $718.81 / $1,389.62	Professional		$415.52	$718.81	$1,389.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $419.97 / $703.55 / $1,286.82	Professional		$419.97	$703.55	$1,286.82
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $384.96 / $549.04 / $929.10	Professional		$384.96	$549.04	$929.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $414.80 / $673.00 / $1,212.70	Professional		$414.80	$673.00	$1,212.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,920.28 / $6,817.20 / $16,394.00	Facility		$1,920.28	$6,817.20	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,965.68 / $4,612.00 / $5,466.60	Professional		$2,965.68	$4,612.00	$5,466.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $403.56 / $624.12 / $1,011.93	Facility		$403.56	$624.12	$1,011.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $424.03 / $733.78 / $1,286.82	Professional		$424.03	$733.78	$1,286.82
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,348.95 / $1,348.95 / $2,220.51	Professional		$1,348.95	$1,348.95	$2,220.51
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $384.96 / $625.32 / $859.82	Professional		$384.96	$625.32	$859.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,464.00 / $2,961.00 / $7,655.00	Facility		$1,464.00	$2,961.00	$7,655.00
United Facility/Professional Professional Modifier Low / Median / High Price $523.79 / $697.97 / $1,473.99	Professional		$523.79	$697.97	$1,473.99