Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $720.83 / $7,648.00 / $20,135.00	Facility		$720.83	$7,648.00	$20,135.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $502.25 / $656.03 / $2,738.28	Professional		$502.25	$656.03	$2,738.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.00 / $5,694.00 / $11,233.00	Facility		$2,137.00	$5,694.00	$11,233.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $615.88 / $885.14 / $1,634.66	Professional		$615.88	$885.14	$1,634.66
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.80 / $100.00 / $7,100.20	Facility		$65.80	$100.00	$7,100.20
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $522.65 / $746.64 / $1,610.18	Professional		$522.65	$746.64	$1,610.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.77 / $244.20 / $2,277.00	Facility		$243.77	$244.20	$2,277.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $573.70 / $815.87 / $1,552.06	Professional		$573.70	$815.87	$1,552.06
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $551.21 / $744.13 / $1,035.55	Professional		$551.21	$744.13	$1,035.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $491.37 / $744.13 / $1,299.43	Professional		$491.37	$744.13	$1,299.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,226.84 / $2,420.51	Facility		$55.00	$2,226.84	$2,420.51
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,591.60 / $5,032.64 / $5,753.85	Professional		$3,591.60	$5,032.64	$5,753.85
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 $578.29 / $829.63 / $1,157.52	Facility		$578.29	$829.63	$1,157.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $592.32 / $858.72 / $1,656.80	Professional		$592.32	$858.72	$1,656.80
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,677.24 / $1,677.24 / $2,320.39	Professional		$1,677.24	$1,677.24	$2,320.39
United Facility/Professional Facility Modifier Low / Median / High Price $548.00 / $1,523.00 / $6,323.00	Facility		$548.00	$1,523.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $548.78 / $738.12 / $1,581.71	Professional		$548.78	$738.12	$1,581.71