Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $762.92 / $7,000.00 / $18,293.00	Facility		$762.92	$7,000.00	$18,293.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $543.13 / $721.99 / $3,605.72	Professional		$543.13	$721.99	$3,605.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,988.00 / $4,814.00 / $10,536.00	Facility		$1,988.00	$4,814.00	$10,536.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $529.04 / $767.32 / $1,697.49	Professional		$529.04	$767.32	$1,697.49
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 $511.39 / $730.56 / $1,649.62	Professional		$511.39	$730.56	$1,649.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $638.98 / $912.08 / $1,903.97	Professional		$638.98	$912.08	$1,903.97
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $453.83 / $920.18 / $1,257.07	Professional		$453.83	$920.18	$1,257.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $681.83 / $959.63 / $1,623.72	Professional		$681.83	$959.63	$1,623.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,217.50 / $4,687.32	Facility		$55.00	$4,217.50	$4,687.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,061.00 / $6,152.40 / $7,096.58	Professional		$5,061.00	$6,152.40	$7,096.58
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 $618.75 / $863.61 / $1,270.11	Facility		$618.75	$863.61	$1,270.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $641.94 / $965.22 / $1,944.54	Professional		$641.94	$965.22	$1,944.54
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,237.27 / $2,237.27 / $2,941.74	Professional		$2,237.27	$2,237.27	$2,941.74
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $589.98 / $816.90 / $1,164.27	Professional		$589.98	$816.90	$1,164.27
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 $636.74 / $856.80 / $2,018.63	Professional		$636.74	$856.80	$2,018.63