Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $626.53 / $9,639.00 / $20,509.00	Facility		$626.53	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $550.29 / $626.53 / $3,665.33	Professional		$550.29	$626.53	$3,665.33
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 $758.26 / $955.23 / $1,889.73	Professional		$758.26	$955.23	$1,889.73
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 $545.60 / $791.62 / $1,778.97	Professional		$545.60	$791.62	$1,778.97
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 $644.47 / $861.64 / $1,868.22	Professional		$644.47	$861.64	$1,868.22
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $337.30 / $510.44 / $1,061.98	Professional		$337.30	$510.44	$1,061.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $684.03 / $941.17 / $1,692.44	Professional		$684.03	$941.17	$1,692.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,291.20 / $3,654.13	Facility		$55.00	$3,291.20	$3,654.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,175.52 / $5,300.32 / $6,164.70	Professional		$5,175.52	$5,300.32	$6,164.70
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 $745.69 / $923.15 / $1,233.99	Facility		$745.69	$923.15	$1,233.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $659.13 / $915.87 / $1,875.30	Professional		$659.13	$915.87	$1,875.30
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,274.28 / $2,274.28 / $2,274.28	Professional		$2,274.28	$2,274.28	$2,274.28
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $438.49 / $685.86 / $943.06	Professional		$438.49	$685.86	$943.06
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 $533.84 / $690.92 / $1,497.10	Professional		$533.84	$690.92	$1,497.10