Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $708.42 / $9,639.00 / $20,509.00	Facility		$708.42	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $618.05 / $716.89 / $3,867.22	Professional		$618.05	$716.89	$3,867.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,908.00 / $11,400.00 / $34,433.58	Facility		$3,908.00	$11,400.00	$34,433.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $815.94 / $1,029.82 / $2,038.34	Professional		$815.94	$1,029.82	$2,038.34
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $5,509.60	Facility		$64.40	$100.00	$5,509.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $550.55 / $790.20 / $1,798.68	Professional		$550.55	$790.20	$1,798.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,277.00 / $2,277.00	Facility		$2,277.00	$2,277.00	$2,277.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $720.28 / $925.70 / $1,953.20	Professional		$720.28	$925.70	$1,953.20
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $421.82 / $638.33 / $1,125.91	Professional		$421.82	$638.33	$1,125.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $728.42 / $1,006.73 / $1,806.22	Professional		$728.42	$1,006.73	$1,806.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $6,096.65 / $6,186.11	Facility		$55.00	$6,096.65	$6,186.11
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,479.44 / $5,560.48 / $6,630.68	Professional		$5,479.44	$5,560.48	$6,630.68
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 $795.82 / $985.21 / $1,313.52	Facility		$795.82	$985.21	$1,313.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $723.69 / $981.49 / $1,950.99	Professional		$723.69	$981.49	$1,950.99
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,399.53 / $2,399.53 / $2,399.53	Professional		$2,399.53	$2,399.53	$2,399.53
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $548.36 / $759.27 / $999.64	Professional		$548.36	$759.27	$999.64
United Facility/Professional Facility Modifier Low / Median / High Price $6,366.00 / $13,555.00 / $29,312.00	Facility		$6,366.00	$13,555.00	$29,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $575.10 / $745.85 / $1,621.28	Professional		$575.10	$745.85	$1,621.28