Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $894.87 / $6,159.00 / $17,030.00	Facility		$894.87	$6,159.00	$17,030.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $656.16 / $831.54 / $3,577.74	Professional		$656.16	$831.54	$3,577.74
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 $657.62 / $875.67 / $1,836.41	Professional		$657.62	$875.67	$1,836.41
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 $565.67 / $808.11 / $1,868.68	Professional		$565.67	$808.11	$1,868.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.79 / $983.49 / $1,997.36	Professional		$724.79	$983.49	$1,997.36
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $580.41 / $965.77 / $1,387.17	Professional		$580.41	$965.77	$1,387.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $718.80 / $996.39 / $1,710.26	Professional		$718.80	$996.39	$1,710.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,973.04 / $5,564.75 / $26,542.00	Facility		$4,973.04	$5,564.75	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,256.32 / $6,232.16 / $7,267.80	Professional		$5,256.32	$6,232.16	$7,267.80
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 $719.00 / $972.79 / $1,321.92	Facility		$719.00	$972.79	$1,321.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $733.73 / $1,030.08 / $2,050.37	Professional		$733.73	$1,030.08	$2,050.37
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,457.05 / $2,457.05 / $2,953.54	Professional		$2,457.05	$2,457.05	$2,953.54
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $678.12 / $932.42 / $1,141.25	Professional		$678.12	$932.42	$1,141.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,254.00 / $4,099.00 / $9,476.00	Facility		$2,254.00	$4,099.00	$9,476.00
United Facility/Professional Professional Modifier Low / Median / High Price $695.25 / $927.01 / $2,228.33	Professional		$695.25	$927.01	$2,228.33