Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $698.40 / $9,639.00 / $20,509.00	Facility		$698.40	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $601.25 / $698.40 / $4,076.53	Professional		$601.25	$698.40	$4,076.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,007.00 / $14,981.00	Facility		$2,456.00	$7,007.00	$14,981.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $772.76 / $998.38 / $2,008.84	Professional		$772.76	$998.38	$2,008.84
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,908.14	Facility		$66.00	$100.00	$7,908.14
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $630.55 / $912.51 / $2,050.65	Professional		$630.55	$912.51	$2,050.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $3,101.23 / $5,554.45	Facility		$2,277.00	$3,101.23	$5,554.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $715.85 / $976.24 / $2,145.94	Professional		$715.85	$976.24	$2,145.94
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $421.82 / $970.73 / $1,310.49	Professional		$421.82	$970.73	$1,310.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $769.63 / $1,054.55 / $1,906.19	Professional		$769.63	$1,054.55	$1,906.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,957.44 / $8,957.00	Facility		$55.00	$2,957.44	$8,957.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,738.72 / $5,927.92 / $6,829.28	Professional		$5,738.72	$5,927.92	$6,829.28
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 $839.06 / $1,029.85 / $1,407.56	Facility		$839.06	$1,029.85	$1,407.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $732.52 / $1,048.89 / $2,098.31	Professional		$732.52	$1,048.89	$2,098.31
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,529.40 / $2,529.40 / $2,529.40	Professional		$2,529.40	$2,529.40	$2,529.40
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $548.36 / $784.01 / $1,078.01	Professional		$548.36	$784.01	$1,078.01
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,335.00 / $14,743.00	Facility		$3,523.00	$7,335.00	$14,743.00
United Facility/Professional Professional Modifier Low / Median / High Price $585.22 / $762.39 / $1,738.79	Professional		$585.22	$762.39	$1,738.79