Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $834.42 / $5,382.00 / $16,713.00	Facility		$834.42	$5,382.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $612.64 / $721.68 / $3,588.44	Professional		$612.64	$721.68	$3,588.44
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 $649.37 / $841.90 / $1,754.61	Professional		$649.37	$841.90	$1,754.61
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 $496.13 / $708.76 / $1,710.37	Professional		$496.13	$708.76	$1,710.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $697.87 / $918.03 / $1,837.86	Professional		$697.87	$918.03	$1,837.86
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $624.35 / $936.53 / $1,139.11	Professional		$624.35	$936.53	$1,139.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $689.81 / $949.27 / $1,634.97	Professional		$689.81	$949.27	$1,634.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,806.47 / $4,882.08 / $16,394.00	Facility		$4,806.47	$4,882.08	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,082.96 / $5,917.65 / $6,859.58	Professional		$5,082.96	$5,917.65	$6,859.58
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 $670.42 / $940.51 / $1,274.27	Facility		$670.42	$940.51	$1,274.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $708.39 / $945.67 / $1,856.96	Professional		$708.39	$945.67	$1,856.96
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,226.57 / $2,226.57 / $2,605.25	Professional		$2,226.57	$2,226.57	$2,605.25
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $642.90 / $883.98 / $1,181.03	Professional		$642.90	$883.98	$1,181.03
United Facility/Professional Facility Modifier Low / Median / High Price $2,300.00 / $4,099.00 / $9,476.00	Facility		$2,300.00	$4,099.00	$9,476.00
United Facility/Professional Professional Modifier Low / Median / High Price $619.44 / $822.25 / $1,894.56	Professional		$619.44	$822.25	$1,894.56