Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $798.30 / $6,264.00 / $17,030.00	Facility		$798.30	$6,264.00	$17,030.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $578.48 / $740.42 / $1,939.93	Professional		$578.48	$740.42	$1,939.93
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 $579.60 / $774.55 / $1,627.00	Professional		$579.60	$774.55	$1,627.00
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 $503.92 / $719.89 / $1,631.80	Professional		$503.92	$719.89	$1,631.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $634.53 / $874.19 / $1,765.19	Professional		$634.53	$874.19	$1,765.19
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $316.08 / $879.13 / $1,281.10	Professional		$316.08	$879.13	$1,281.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $650.24 / $901.33 / $1,552.20	Professional		$650.24	$901.33	$1,552.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,476.54 / $5,564.75 / $26,542.00	Facility		$4,476.54	$5,564.75	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,742.56 / $5,701.68 / $6,597.00	Professional		$4,742.56	$5,701.68	$6,597.00
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 $650.24 / $911.03 / $1,198.09	Facility		$650.24	$911.03	$1,198.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $646.99 / $916.78 / $1,802.73	Professional		$646.99	$916.78	$1,802.73
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,164.78 / $2,164.78 / $2,624.00	Professional		$2,164.78	$2,164.78	$2,624.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $410.91 / $677.63 / $1,054.33	Professional		$410.91	$677.63	$1,054.33
United Facility/Professional Facility Modifier Low / Median / High Price $2,348.00 / $4,243.00 / $9,131.00	Facility		$2,348.00	$4,243.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $607.60 / $796.25 / $1,781.67	Professional		$607.60	$796.25	$1,781.67