Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $823.66 / $6,537.00 / $17,809.00	Facility		$823.66	$6,537.00	$17,809.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $564.64 / $730.42 / $3,406.52	Professional		$564.64	$730.42	$3,406.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,675.00 / $8,484.00 / $16,676.00	Facility		$2,675.00	$8,484.00	$16,676.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $613.14 / $854.63 / $1,788.94	Professional		$613.14	$854.63	$1,788.94
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $9,416.95	Facility		$66.00	$100.00	$9,416.95
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $463.41 / $662.02 / $1,514.22	Professional		$463.41	$662.02	$1,514.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,291.00 / $1,293.28 / $2,813.00	Facility		$1,291.00	$1,293.28	$2,813.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $614.02 / $896.31 / $1,914.40	Professional		$614.02	$896.31	$1,914.40
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $379.00 / $888.18 / $1,178.78	Professional		$379.00	$888.18	$1,178.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $663.69 / $930.13 / $1,591.21	Professional		$663.69	$930.13	$1,591.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,413.24 / $4,527.47 / $26,542.00	Facility		$4,413.24	$4,527.47	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,652.96 / $5,562.00 / $6,457.20	Professional		$4,652.96	$5,562.00	$6,457.20
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 $673.01 / $918.58 / $1,329.10	Facility		$673.01	$918.58	$1,329.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $615.37 / $969.02 / $1,938.36	Professional		$615.37	$969.02	$1,938.36
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,113.67 / $2,113.67 / $2,535.62	Professional		$2,113.67	$2,113.67	$2,535.62
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $530.60 / $734.37 / $1,092.09	Professional		$530.60	$734.37	$1,092.09
United Facility/Professional Facility Modifier Low / Median / High Price $2,090.00 / $4,213.00 / $9,131.00	Facility		$2,090.00	$4,213.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $581.85 / $775.59 / $1,764.75	Professional		$581.85	$775.59	$1,764.75