Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $824.44 / $8,979.00 / $20,673.00	Facility		$824.44	$8,979.00	$20,673.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $542.84 / $690.97 / $3,060.86	Professional		$542.84	$690.97	$3,060.86
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 $643.91 / $890.03 / $1,715.99	Professional		$643.91	$890.03	$1,715.99
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $14,871.05	Facility		$66.00	$100.00	$14,871.05
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $557.12 / $776.07 / $1,695.91	Professional		$557.12	$776.07	$1,695.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,213.54 / $4,220.99 / $7,546.63	Facility		$4,213.54	$4,220.99	$7,546.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $634.40 / $857.56 / $1,619.00	Professional		$634.40	$857.56	$1,619.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $635.26 / $776.18 / $1,047.83	Professional		$635.26	$776.18	$1,047.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $546.91 / $761.88 / $1,384.87	Professional		$546.91	$761.88	$1,384.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,698.94 / $3,742.32 / $26,542.00	Facility		$3,698.94	$3,742.32	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,710.00 / $5,790.42 / $5,790.42	Professional		$5,710.00	$5,790.42	$5,790.42
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 $646.76 / $831.14 / $1,288.80	Facility		$646.76	$831.14	$1,288.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $638.87 / $906.49 / $1,632.01	Professional		$638.87	$906.49	$1,632.01
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,899.19 / $1,899.19 / $2,262.23	Professional		$1,899.19	$1,899.19	$2,262.23
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $577.48 / $705.80 / $1,206.25	Professional		$577.48	$705.80	$1,206.25
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,384.00 / $15,471.00	Facility		$3,523.00	$7,384.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $544.32 / $738.71 / $1,580.26	Professional		$544.32	$738.71	$1,580.26