Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $613.22 / $4,848.00 / $16,573.00	Facility		$613.22	$4,848.00	$16,573.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $487.37 / $564.65 / $2,247.01	Professional		$487.37	$564.65	$2,247.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,597.00 / $9,381.00	Facility		$1,723.00	$4,597.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $625.33 / $800.25 / $1,581.43	Professional		$625.33	$800.25	$1,581.43
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,367.09	Facility		$66.00	$100.00	$5,367.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $479.89 / $680.48 / $1,537.56	Professional		$479.89	$680.48	$1,537.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,487.00 / $1,646.28 / $2,948.55	Facility		$1,487.00	$1,646.28	$2,948.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $571.58 / $737.08 / $1,519.27	Professional		$571.58	$737.08	$1,519.27
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $300.82 / $765.90 / $1,039.10	Professional		$300.82	$765.90	$1,039.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $592.54 / $795.41 / $1,385.71	Professional		$592.54	$795.41	$1,385.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,746.76 / $2,991.88 / $12,000.00	Facility		$2,746.76	$2,991.88	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,232.39 / $4,711.60 / $5,495.48	Professional		$4,232.39	$4,711.60	$5,495.48
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 $565.29 / $772.32 / $1,046.81	Facility		$565.29	$772.32	$1,046.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $574.32 / $783.16 / $1,556.94	Professional		$574.32	$783.16	$1,556.94
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,851.99 / $1,851.99 / $2,020.29	Professional		$1,851.99	$1,851.99	$2,020.29
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $421.15 / $632.38 / $854.60	Professional		$421.15	$632.38	$854.60
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,523.00 / $6,920.00	Facility		$587.00	$1,523.00	$6,920.00
United Facility/Professional Professional Modifier Low / Median / High Price $481.34 / $638.64 / $1,385.49	Professional		$481.34	$638.64	$1,385.49