Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $876.17 / $6,423.00 / $17,393.00	Facility		$876.17	$6,423.00	$17,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $631.55 / $809.37 / $2,795.14	Professional		$631.55	$809.37	$2,795.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,675.00 / $7,007.00 / $13,707.00	Facility		$2,675.00	$7,007.00	$13,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $635.16 / $848.80 / $1,819.28	Professional		$635.16	$848.80	$1,819.28
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,864.42	Facility		$66.00	$100.00	$7,864.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $556.96 / $795.65 / $1,888.55	Professional		$556.96	$795.65	$1,888.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $719.13 / $959.45 / $1,981.53	Professional		$719.13	$959.45	$1,981.53
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $337.30 / $964.49 / $1,431.53	Professional		$337.30	$964.49	$1,431.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $710.96 / $993.31 / $1,698.37	Professional		$710.96	$993.31	$1,698.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,890.24 / $5,564.75 / $26,542.00	Facility		$4,890.24	$5,564.75	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,166.16 / $6,318.48 / $7,367.03	Professional		$5,166.16	$6,318.48	$7,367.03
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 $701.72 / $946.01 / $1,325.49	Facility		$701.72	$946.01	$1,325.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $725.67 / $995.54 / $2,007.89	Professional		$725.67	$995.54	$2,007.89
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,321.52 / $2,321.52 / $2,843.25	Professional		$2,321.52	$2,321.52	$2,843.25
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $438.49 / $723.12 / $1,178.02	Professional		$438.49	$723.12	$1,178.02
United Facility/Professional Facility Modifier Low / Median / High Price $2,348.00 / $4,243.00 / $9,131.00	Facility		$2,348.00	$4,243.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $666.07 / $886.69 / $1,946.87	Professional		$666.07	$886.69	$1,946.87