Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $843.24 / $5,382.00 / $16,713.00	Facility		$843.24	$5,382.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $642.86 / $740.29 / $3,980.51	Professional		$642.86	$740.29	$3,980.51
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 $655.71 / $866.27 / $1,801.23	Professional		$655.71	$866.27	$1,801.23
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,255.89	Facility		$66.00	$100.00	$7,255.89
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $539.21 / $770.30 / $1,855.95	Professional		$539.21	$770.30	$1,855.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $725.82 / $955.66 / $1,961.86	Professional		$725.82	$955.66	$1,961.86
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $668.28 / $1,016.28 / $1,244.98	Professional		$668.28	$1,016.28	$1,244.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $754.36 / $1,037.48 / $1,783.81	Professional		$754.36	$1,037.48	$1,783.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,209.26 / $5,321.94 / $16,394.00	Facility		$5,209.26	$5,321.94	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,508.64 / $6,388.88 / $7,336.50	Professional		$5,508.64	$6,388.88	$7,336.50
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 $712.31 / $996.49 / $1,382.55	Facility		$712.31	$996.49	$1,382.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $739.52 / $997.53 / $2,001.86	Professional		$739.52	$997.53	$2,001.86
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,469.82 / $2,469.82 / $2,862.92	Professional		$2,469.82	$2,469.82	$2,862.92
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $713.66 / $981.29 / $1,264.13	Professional		$713.66	$981.29	$1,264.13
United Facility/Professional Facility Modifier Low / Median / High Price $5,670.00 / $9,908.00 / $21,278.00	Facility		$5,670.00	$9,908.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $651.84 / $877.93 / $2,156.73	Professional		$651.84	$877.93	$2,156.73