Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $890.91 / $9,639.00 / $20,509.00	Facility		$890.91	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $753.85 / $890.91 / $4,765.56	Professional		$753.85	$890.91	$4,765.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $9,447.00 / $18,544.00	Facility		$3,028.00	$9,447.00	$18,544.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,014.94 / $1,271.14 / $2,472.08	Professional		$1,014.94	$1,271.14	$2,472.08
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,336.71	Facility		$66.00	$100.00	$6,336.71
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $689.37 / $992.78 / $2,253.64	Professional		$689.37	$992.78	$2,253.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,203.00 / $3,203.00 / $3,203.00	Facility		$3,203.00	$3,203.00	$3,203.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $873.46 / $1,132.63 / $2,452.85	Professional		$873.46	$1,132.63	$2,452.85
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $470.59 / $712.14 / $1,306.40	Professional		$470.59	$712.14	$1,306.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $834.60 / $1,173.97 / $2,102.06	Professional		$834.60	$1,173.97	$2,102.06
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,037.30 / $13,960.05	Facility		$55.00	$5,037.30	$13,960.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,152.58 / $7,152.58 / $7,700.33	Professional		$7,152.58	$7,152.58	$7,700.33
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 $941.14 / $1,162.35 / $1,687.25	Facility		$941.14	$1,162.35	$1,687.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $881.91 / $1,168.56 / $2,403.48	Professional		$881.91	$1,168.56	$2,403.48
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,956.94 / $2,956.94 / $2,956.94	Professional		$2,956.94	$2,956.94	$2,956.94
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $611.76 / $847.06 / $1,159.98	Professional		$611.76	$847.06	$1,159.98
United Facility/Professional Facility Modifier Low / Median / High Price $6,142.00 / $12,377.00 / $26,451.00	Facility		$6,142.00	$12,377.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $706.59 / $942.12 / $2,015.75	Professional		$706.59	$942.12	$2,015.75