Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $712.89 / $9,639.00 / $20,509.00	Facility		$712.89	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $589.22 / $682.83 / $3,675.74	Professional		$589.22	$682.83	$3,675.74
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 $827.10 / $1,043.91 / $1,998.66	Professional		$827.10	$1,043.91	$1,998.66
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 $702.14 / $1,007.26 / $2,159.48	Professional		$702.14	$1,007.26	$2,159.48
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 $726.95 / $977.09 / $1,944.85	Professional		$726.95	$977.09	$1,944.85
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $393.15 / $594.95 / $1,030.89	Professional		$393.15	$594.95	$1,030.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $667.98 / $924.29 / $1,657.02	Professional		$667.98	$924.29	$1,657.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,249.52 / $3,577.65	Facility		$55.00	$3,249.52	$3,577.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,337.89 / $5,514.04 / $6,093.90	Professional		$5,337.89	$5,514.04	$6,093.90
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 $752.00 / $949.23 / $1,331.23	Facility		$752.00	$949.23	$1,331.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $728.59 / $1,018.38 / $1,885.02	Professional		$728.59	$1,018.38	$1,885.02
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,280.71 / $2,280.71 / $2,280.71	Professional		$2,280.71	$2,280.71	$2,280.71
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $511.09 / $707.67 / $915.22	Professional		$511.09	$707.67	$915.22
United Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $13,651.00 / $29,312.00	Facility		$7,212.00	$13,651.00	$29,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $546.75 / $751.96 / $1,539.27	Professional		$546.75	$751.96	$1,539.27