Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $713.80 / $5,505.00 / $16,713.00	Facility		$713.80	$5,505.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $326.05 / $586.70 / $2,308.58	Professional		$326.05	$586.70	$2,308.58
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 $368.36 / $567.22 / $1,305.28	Professional		$368.36	$567.22	$1,305.28
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 $383.00 / $649.87 / $1,223.07	Professional		$383.00	$649.87	$1,223.07
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 $400.95 / $721.54 / $1,561.20	Professional		$400.95	$721.54	$1,561.20
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $153.02 / $482.54 / $1,070.58	Professional		$153.02	$482.54	$1,070.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $383.02 / $664.67 / $1,202.18	Professional		$383.02	$664.67	$1,202.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,512.80 / $2,523.90 / $16,394.00	Facility		$2,512.80	$2,523.90	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,663.28 / $4,505.20 / $5,233.64	Professional		$2,663.28	$4,505.20	$5,233.64
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 $313.57 / $562.52 / $1,022.51	Facility		$313.57	$562.52	$1,022.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $403.23 / $775.15 / $1,622.43	Professional		$403.23	$775.15	$1,622.43
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,232.58 / $1,232.58 / $2,230.36	Professional		$1,232.58	$1,232.58	$2,230.36
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $214.22 / $398.80 / $881.60	Professional		$214.22	$398.80	$881.60
United Facility/Professional Facility Modifier Low / Median / High Price $5,416.00 / $12,313.00 / $26,451.00	Facility		$5,416.00	$12,313.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $522.87 / $755.00 / $1,565.21	Professional		$522.87	$755.00	$1,565.21