Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $609.23 / $6,322.00 / $17,380.00	Facility		$609.23	$6,322.00	$17,380.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $441.68 / $541.40 / $2,344.84	Professional		$441.68	$541.40	$2,344.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $6,978.00 / $13,707.00	Facility		$2,456.00	$6,978.00	$13,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $412.58 / $630.84 / $1,292.41	Professional		$412.58	$630.84	$1,292.41
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,114.52	Facility		$66.00	$100.00	$8,114.52
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $332.73 / $451.36 / $1,079.80	Professional		$332.73	$451.36	$1,079.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,183.45 / $1,185.55 / $2,277.00	Facility		$1,183.45	$1,185.55	$2,277.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $453.60 / $702.30 / $1,520.62	Professional		$453.60	$702.30	$1,520.62
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $132.91 / $844.90 / $1,177.63	Professional		$132.91	$844.90	$1,177.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $624.19 / $925.40 / $1,518.00	Professional		$624.19	$925.40	$1,518.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $4,113.35 / $4,294.38	Facility		$2,000.00	$4,113.35	$4,294.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,316.16 / $5,380.24 / $6,303.30	Professional		$4,316.16	$5,380.24	$6,303.30
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 $526.04 / $819.59 / $1,251.01	Facility		$526.04	$819.59	$1,251.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $460.45 / $744.63 / $1,636.06	Professional		$460.45	$744.63	$1,636.06
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,700.40 / $1,700.40 / $2,118.75	Professional		$1,700.40	$1,700.40	$2,118.75
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $186.08 / $706.52 / $1,091.24	Professional		$186.08	$706.52	$1,091.24
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,359.00 / $15,471.00	Facility		$3,523.00	$7,359.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $451.71 / $591.69 / $1,368.60	Professional		$451.71	$591.69	$1,368.60