Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $683.52 / $9,639.00 / $20,509.00	Facility		$683.52	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $582.92 / $711.22 / $3,755.07	Professional		$582.92	$711.22	$3,755.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,314.00 / $11,098.00 / $23,642.59	Facility		$4,314.00	$11,098.00	$23,642.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $776.98 / $976.07 / $1,935.20	Professional		$776.98	$976.07	$1,935.20
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $5,367.09	Facility		$64.40	$100.00	$5,367.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $544.89 / $791.00 / $1,777.59	Professional		$544.89	$791.00	$1,777.59
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 $694.22 / $883.71 / $1,912.94	Professional		$694.22	$883.71	$1,912.94
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $337.30 / $510.44 / $1,087.25	Professional		$337.30	$510.44	$1,087.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $700.48 / $964.03 / $1,733.45	Professional		$700.48	$964.03	$1,733.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,371.80 / $3,742.67	Facility		$55.00	$3,371.80	$3,742.67
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,300.88 / $5,425.44 / $6,320.33	Professional		$5,300.88	$5,425.44	$6,320.33
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 $767.29 / $944.58 / $1,263.58	Facility		$767.29	$944.58	$1,263.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $699.46 / $939.00 / $1,919.62	Professional		$699.46	$939.00	$1,919.62
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,329.94 / $2,329.94 / $2,329.94	Professional		$2,329.94	$2,329.94	$2,329.94
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $438.49 / $702.18 / $965.49	Professional		$438.49	$702.18	$965.49
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 $555.92 / $731.87 / $1,672.45	Professional		$555.92	$731.87	$1,672.45