Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $809.44 / $6,264.00 / $17,054.00	Facility		$809.44	$6,264.00	$17,054.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $586.00 / $728.06 / $3,046.93	Professional		$586.00	$728.06	$3,046.93
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 $563.27 / $766.39 / $1,630.27	Professional		$563.27	$766.39	$1,630.27
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 $479.27 / $684.67 / $1,523.78	Professional		$479.27	$684.67	$1,523.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $632.24 / $887.59 / $1,781.73	Professional		$632.24	$887.59	$1,781.73
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $294.12 / $905.84 / $1,217.86	Professional		$294.12	$905.84	$1,217.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $675.93 / $948.07 / $1,599.63	Professional		$675.93	$948.07	$1,599.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,149.72 / $5,564.75 / $26,542.00	Facility		$3,149.72	$5,564.75	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,868.39 / $6,049.44 / $7,128.75	Professional		$4,868.39	$6,049.44	$7,128.75
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 $602.99 / $859.54 / $1,243.33	Facility		$602.99	$859.54	$1,243.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $633.17 / $926.85 / $1,840.06	Professional		$633.17	$926.85	$1,840.06
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,190.84 / $2,190.84 / $2,748.63	Professional		$2,190.84	$2,190.84	$2,748.63
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $382.35 / $635.97 / $1,127.19	Professional		$382.35	$635.97	$1,127.19
United Facility/Professional Facility Modifier Low / Median / High Price $3,993.00 / $7,454.00 / $15,471.00	Facility		$3,993.00	$7,454.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $633.36 / $828.25 / $1,839.90	Professional		$633.36	$828.25	$1,839.90