Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $727.35 / $9,639.00 / $20,509.00	Facility		$727.35	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $597.65 / $727.35 / $3,731.46	Professional		$597.65	$727.35	$3,731.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,644.00 / $13,974.00 / $37,078.55	Facility		$4,644.00	$13,974.00	$37,078.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $840.18 / $1,056.41 / $2,029.31	Professional		$840.18	$1,056.41	$2,029.31
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 $644.48 / $920.68 / $2,015.92	Professional		$644.48	$920.68	$2,015.92
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 $736.32 / $986.93 / $1,977.39	Professional		$736.32	$986.93	$1,977.39
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $379.37 / $574.10 / $1,066.65	Professional		$379.37	$574.10	$1,066.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $689.47 / $952.16 / $1,708.61	Professional		$689.47	$952.16	$1,708.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,340.64 / $3,689.04	Facility		$55.00	$3,340.64	$3,689.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,488.46 / $5,669.58 / $6,249.15	Professional		$5,488.46	$5,669.58	$6,249.15
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 $764.09 / $960.00 / $1,367.76	Facility		$764.09	$960.00	$1,367.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $743.55 / $1,030.15 / $1,917.00	Professional		$743.55	$1,030.15	$1,917.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,315.29 / $2,315.29 / $2,315.29	Professional		$2,315.29	$2,315.29	$2,315.29
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $493.19 / $688.82 / $947.13	Professional		$493.19	$688.82	$947.13
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 $554.04 / $757.33 / $1,536.84	Professional		$554.04	$757.33	$1,536.84