Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $704.97 / $9,639.00 / $20,509.00	Facility		$704.97	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $613.78 / $712.05 / $3,837.69	Professional		$613.78	$712.05	$3,837.69
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 $809.09 / $1,017.07 / $2,028.36	Professional		$809.09	$1,017.07	$2,028.36
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $7,121.41	Facility		$64.40	$100.00	$7,121.41
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $547.34 / $784.80 / $1,786.79	Professional		$547.34	$784.80	$1,786.79
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 $693.69 / $927.78 / $1,984.49	Professional		$693.69	$927.78	$1,984.49
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $379.37 / $574.10 / $1,073.05	Professional		$379.37	$574.10	$1,073.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $696.21 / $963.87 / $1,727.24	Professional		$696.21	$963.87	$1,727.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,935.16 / $6,050.03	Facility		$55.00	$5,935.16	$6,050.03
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,440.00 / $5,584.21 / $6,364.80	Professional		$5,440.00	$5,584.21	$6,364.80
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 $771.55 / $942.13 / $1,295.43	Facility		$771.55	$942.13	$1,295.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $704.33 / $978.57 / $1,938.29	Professional		$704.33	$978.57	$1,938.29
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,381.19 / $2,381.19 / $2,381.19	Professional		$2,381.19	$2,381.19	$2,381.19
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $493.19 / $692.80 / $952.60	Professional		$493.19	$692.80	$952.60
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 $571.05 / $730.43 / $1,582.99	Professional		$571.05	$730.43	$1,582.99