Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $653.37 / $5,382.00 / $16,713.00	Facility		$653.37	$5,382.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $529.19 / $615.30 / $3,292.63	Professional		$529.19	$615.30	$3,292.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,894.00 / $4,734.00 / $9,589.00	Facility		$1,894.00	$4,734.00	$9,589.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $523.36 / $690.90 / $1,397.19	Professional		$523.36	$690.90	$1,397.19
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 $437.47 / $624.95 / $1,475.54	Professional		$437.47	$624.95	$1,475.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $603.04 / $779.00 / $1,615.06	Professional		$603.04	$779.00	$1,615.06
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $552.12 / $799.99 / $962.87	Professional		$552.12	$799.99	$962.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $619.62 / $836.49 / $1,462.36	Professional		$619.62	$836.49	$1,462.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,965.40 / $3,149.11 / $16,394.00	Facility		$2,965.40	$3,149.11	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,540.72 / $5,127.12 / $6,067.88	Professional		$4,540.72	$5,127.12	$6,067.88
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 $587.57 / $802.66 / $1,082.51	Facility		$587.57	$802.66	$1,082.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $622.57 / $811.84 / $1,656.72	Professional		$622.57	$811.84	$1,656.72
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,043.02 / $2,043.02 / $2,266.62	Professional		$2,043.02	$2,043.02	$2,266.62
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $575.10 / $790.77 / $1,044.40	Professional		$575.10	$790.77	$1,044.40
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 $547.10 / $730.80 / $1,702.08	Professional		$547.10	$730.80	$1,702.08