Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $9,006.00 / $22,788.00	Facility		$873.00	$9,006.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $505.91 / $699.32 / $1,767.26	Professional		$505.91	$699.32	$1,767.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,675.00 / $7,173.00 / $14,981.00	Facility		$2,675.00	$7,173.00	$14,981.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $663.62 / $861.17 / $1,655.76	Professional		$663.62	$861.17	$1,655.76
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $15,290.89	Facility		$66.00	$100.00	$15,290.89
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $491.18 / $701.68 / $1,506.60	Professional		$491.18	$701.68	$1,506.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,445.00 / $5,729.24 / $10,261.32	Facility		$4,445.00	$5,729.24	$10,261.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $589.00 / $828.60 / $1,580.57	Professional		$589.00	$828.60	$1,580.57
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $505.96 / $765.66 / $1,224.02	Professional		$505.96	$765.66	$1,224.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $586.48 / $852.79 / $1,407.21	Professional		$586.48	$852.79	$1,407.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,945.66 / $4,039.98 / $26,542.00	Facility		$3,945.66	$4,039.98	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,054.00 / $5,333.92 / $6,221.25	Professional		$5,054.00	$5,333.92	$6,221.25
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 $681.66 / $897.97 / $1,233.08	Facility		$681.66	$897.97	$1,233.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $592.11 / $872.86 / $1,728.32	Professional		$592.11	$872.86	$1,728.32
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,846.91 / $1,846.91 / $2,397.50	Professional		$1,846.91	$1,846.91	$2,397.50
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $600.99 / $757.75 / $1,007.42	Professional		$600.99	$757.75	$1,007.42
United Facility/Professional Facility Modifier Low / Median / High Price $2,090.00 / $4,243.00 / $9,072.00	Facility		$2,090.00	$4,243.00	$9,072.00
United Facility/Professional Professional Modifier Low / Median / High Price $567.95 / $745.20 / $1,717.00	Professional		$567.95	$745.20	$1,717.00