Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $843.50 / $5,505.00 / $16,210.00	Facility		$843.50	$5,505.00	$16,210.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $633.74 / $785.28 / $2,065.06	Professional		$633.74	$785.28	$2,065.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,931.00 / $11,456.00	Facility		$2,143.00	$5,931.00	$11,456.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $607.71 / $824.98 / $1,761.15	Professional		$607.71	$824.98	$1,761.15
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,881.37	Facility		$66.00	$100.00	$6,881.37
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $596.53 / $852.19 / $1,822.81	Professional		$596.53	$852.19	$1,822.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $688.34 / $940.36 / $1,902.81	Professional		$688.34	$940.36	$1,902.81
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $265.45 / $952.91 / $1,396.24	Professional		$265.45	$952.91	$1,396.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $708.11 / $984.54 / $1,689.56	Professional		$708.11	$984.54	$1,689.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,339.76 / $5,564.75 / $16,394.00	Facility		$3,339.76	$5,564.75	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,155.28 / $6,224.16 / $7,385.55	Professional		$5,155.28	$6,224.16	$7,385.55
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 $656.00 / $907.91 / $1,325.79	Facility		$656.00	$907.91	$1,325.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $705.81 / $985.62 / $1,902.81	Professional		$705.81	$985.62	$1,902.81
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,321.14 / $2,321.14 / $2,832.05	Professional		$2,321.14	$2,321.14	$2,832.05
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $345.08 / $668.81 / $1,148.35	Professional		$345.08	$668.81	$1,148.35
United Facility/Professional Facility Modifier Low / Median / High Price $2,348.00 / $4,218.00 / $9,131.00	Facility		$2,348.00	$4,218.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $670.69 / $880.99 / $1,942.20	Professional		$670.69	$880.99	$1,942.20