Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $639.03 / $6,268.00 / $17,380.00	Facility		$639.03	$6,268.00	$17,380.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.22 / $553.27 / $2,648.00	Professional		$426.22	$553.27	$2,648.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $6,706.00 / $13,707.00	Facility		$2,456.00	$6,706.00	$13,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $428.37 / $644.19 / $1,350.17	Professional		$428.37	$644.19	$1,350.17
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,826.58	Facility		$66.00	$100.00	$7,826.58
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $359.75 / $497.67 / $1,125.30	Professional		$359.75	$497.67	$1,125.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $536.21 / $537.16 / $2,277.00	Facility		$536.21	$537.16	$2,277.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $455.50 / $684.02 / $1,439.55	Professional		$455.50	$684.02	$1,439.55
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $612.19 / $761.82 / $952.28	Professional		$612.19	$761.82	$952.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $499.05 / $725.87 / $1,226.00	Professional		$499.05	$725.87	$1,226.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,307.80 / $3,396.96 / $26,542.00	Facility		$3,307.80	$3,396.96	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,481.76 / $4,259.60 / $4,961.55	Professional		$3,481.76	$4,259.60	$4,961.55
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 $507.20 / $732.54 / $1,036.08	Facility		$507.20	$732.54	$1,036.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $464.48 / $738.64 / $1,470.76	Professional		$464.48	$738.64	$1,470.76
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,574.49 / $1,574.49 / $1,939.94	Professional		$1,574.49	$1,574.49	$1,939.94
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $494.97 / $680.58 / $847.03	Professional		$494.97	$680.58	$847.03
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,533.00 / $6,323.00	Facility		$587.00	$1,533.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $440.33 / $591.84 / $1,287.74	Professional		$440.33	$591.84	$1,287.74