Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $854.68 / $6,229.00 / $17,054.00	Facility		$854.68	$6,229.00	$17,054.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $642.17 / $794.60 / $3,887.84	Professional		$642.17	$794.60	$3,887.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,696.00 / $7,166.00 / $15,328.00	Facility		$2,696.00	$7,166.00	$15,328.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $623.84 / $828.00 / $1,725.50	Professional		$623.84	$828.00	$1,725.50
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,011.98	Facility		$66.00	$100.00	$8,011.98
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $517.85 / $739.78 / $1,669.43	Professional		$517.85	$739.78	$1,669.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $689.13 / $949.19 / $1,910.53	Professional		$689.13	$949.19	$1,910.53
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $547.28 / $989.39 / $1,272.55	Professional		$547.28	$989.39	$1,272.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $732.93 / $1,018.82 / $1,747.78	Professional		$732.93	$1,018.82	$1,747.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,066.04 / $11,102.00 / $26,542.00	Facility		$5,066.04	$11,102.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,330.80 / $6,371.04 / $7,518.68	Professional		$5,330.80	$6,371.04	$7,518.68
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 $711.15 / $940.45 / $1,325.58	Facility		$711.15	$940.45	$1,325.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $698.77 / $993.71 / $2,001.47	Professional		$698.77	$993.71	$2,001.47
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,412.33 / $2,412.33 / $2,896.80	Professional		$2,412.33	$2,412.33	$2,896.80
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $694.56 / $928.37 / $1,177.64	Professional		$694.56	$928.37	$1,177.64
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 $670.37 / $885.50 / $1,985.11	Professional		$670.37	$885.50	$1,985.11