Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $917.52 / $5,815.00 / $16,713.00	Facility		$917.52	$5,815.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $642.64 / $780.57 / $2,987.28	Professional		$642.64	$780.57	$2,987.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,977.00 / $13,012.00	Facility		$2,143.00	$5,977.00	$13,012.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $778.17 / $1,036.15 / $2,098.44	Professional		$778.17	$1,036.15	$2,098.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,506.48	Facility		$66.00	$100.00	$7,506.48
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $701.22 / $979.41 / $2,124.81	Professional		$701.22	$979.41	$2,124.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $5,729.24 / $10,261.32	Facility		$1,992.00	$5,729.24	$10,261.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $764.22 / $1,019.27 / $1,950.77	Professional		$764.22	$1,019.27	$1,950.77
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $295.98 / $868.73 / $1,314.02	Professional		$295.98	$868.73	$1,314.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $684.41 / $949.70 / $1,629.16	Professional		$684.41	$949.70	$1,629.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,632.54 / $4,674.24 / $16,394.00	Facility		$4,632.54	$4,674.24	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,920.00 / $5,874.32 / $6,749.55	Professional		$4,920.00	$5,874.32	$6,749.55
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 $789.75 / $1,009.05 / $1,411.36	Facility		$789.75	$1,009.05	$1,411.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $766.39 / $1,089.93 / $2,005.42	Professional		$766.39	$1,089.93	$2,005.42
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,291.59 / $2,291.59 / $2,739.99	Professional		$2,291.59	$2,291.59	$2,739.99
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $414.37 / $717.78 / $1,081.51	Professional		$414.37	$717.78	$1,081.51
United Facility/Professional Facility Modifier Low / Median / High Price $5,799.00 / $12,341.00 / $26,451.00	Facility		$5,799.00	$12,341.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $662.20 / $914.31 / $2,083.17	Professional		$662.20	$914.31	$2,083.17