Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $840.41 / $4,969.00 / $16,573.00	Facility		$840.41	$4,969.00	$16,573.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $582.19 / $749.81 / $3,715.08	Professional		$582.19	$749.81	$3,715.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.00 / $5,863.00 / $11,400.00	Facility		$2,137.00	$5,863.00	$11,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $636.88 / $897.19 / $1,848.22	Professional		$636.88	$897.19	$1,848.22
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,551.18	Facility		$66.00	$100.00	$5,551.18
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $479.17 / $648.94 / $1,514.91	Professional		$479.17	$648.94	$1,514.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,203.13 / $1,205.26 / $2,154.86	Facility		$1,203.13	$1,205.26	$2,154.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $637.90 / $944.27 / $2,006.00	Professional		$637.90	$944.27	$2,006.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $330.97 / $890.04 / $1,201.55	Professional		$330.97	$890.04	$1,201.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $730.31 / $1,041.46 / $1,742.30	Professional		$730.31	$1,041.46	$1,742.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,851.47 / $5,021.52	Facility		$55.00	$4,851.47	$5,021.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,111.12 / $6,144.16 / $7,146.23	Professional		$5,111.12	$6,144.16	$7,146.23
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 $547.32 / $950.50 / $1,413.44	Facility		$547.32	$950.50	$1,413.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $646.33 / $1,006.01 / $2,136.66	Professional		$646.33	$1,006.01	$2,136.66
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,305.13 / $2,305.13 / $2,776.38	Professional		$2,305.13	$2,305.13	$2,776.38
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $370.69 / $719.55 / $1,210.46	Professional		$370.69	$719.55	$1,210.46
United Facility/Professional Facility Modifier Low / Median / High Price $2,145.00 / $4,060.00 / $10,621.00	Facility		$2,145.00	$4,060.00	$10,621.00
United Facility/Professional Professional Modifier Low / Median / High Price $615.79 / $822.72 / $1,916.63	Professional		$615.79	$822.72	$1,916.63