Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $760.39 / $9,639.00 / $20,509.00	Facility		$760.39	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $678.35 / $810.60 / $4,869.89	Professional		$678.35	$810.60	$4,869.89
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 $926.21 / $1,239.59 / $2,349.91	Professional		$926.21	$1,239.59	$2,349.91
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 $608.60 / $870.78 / $1,999.28	Professional		$608.60	$870.78	$1,999.28
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 $784.90 / $1,067.44 / $2,398.90	Professional		$784.90	$1,067.44	$2,398.90
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $560.67 / $848.48 / $1,341.45	Professional		$560.67	$848.48	$1,341.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $860.47 / $1,210.45 / $2,169.57	Professional		$860.47	$1,210.45	$2,169.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $7,489.79 / $7,638.26	Facility		$55.00	$7,489.79	$7,638.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,737.44 / $6,870.88 / $8,035.13	Professional		$6,737.44	$6,870.88	$8,035.13
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 $937.90 / $1,179.66 / $1,572.58	Facility		$937.90	$1,179.66	$1,572.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $802.98 / $1,122.77 / $2,429.71	Professional		$802.98	$1,122.77	$2,429.71
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,021.66 / $3,021.66 / $3,021.66	Professional		$3,021.66	$3,021.66	$3,021.66
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $728.89 / $974.21 / $1,190.71	Professional		$728.89	$974.21	$1,190.71
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 $674.41 / $888.69 / $1,998.49	Professional		$674.41	$888.69	$1,998.49