Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $726.72 / $6,695.00 / $17,902.00	Facility		$726.72	$6,695.00	$17,902.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $404.51 / $601.17 / $2,231.94	Professional		$404.51	$601.17	$2,231.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,822.00 / $9,447.00 / $18,544.00	Facility		$2,822.00	$9,447.00	$18,544.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $483.84 / $669.24 / $1,331.76	Professional		$483.84	$669.24	$1,331.76
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $10,150.11	Facility		$66.00	$100.00	$10,150.11
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $508.72 / $744.18 / $1,407.51	Professional		$508.72	$744.18	$1,407.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,813.00 / $6,894.76 / $12,348.83	Facility		$2,813.00	$6,894.76	$12,348.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $483.10 / $759.17 / $1,436.69	Professional		$483.10	$759.17	$1,436.69
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $464.63 / $744.90 / $1,312.66	Professional		$464.63	$744.90	$1,312.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $538.94 / $855.21 / $1,483.60	Professional		$538.94	$855.21	$1,483.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,452.23 / $2,672.35 / $26,542.00	Facility		$2,452.23	$2,672.35	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,787.52 / $5,615.12 / $6,681.45	Professional		$3,787.52	$5,615.12	$6,681.45
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 $581.41 / $839.28 / $1,227.44	Facility		$581.41	$839.28	$1,227.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $492.29 / $809.53 / $1,592.45	Professional		$492.29	$809.53	$1,592.45
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,369.14 / $1,369.14 / $2,082.02	Professional		$1,369.14	$1,369.14	$2,082.02
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $547.88 / $761.72 / $1,080.15	Professional		$547.88	$761.72	$1,080.15
United Facility/Professional Facility Modifier Low / Median / High Price $3,087.00 / $7,335.00 / $14,743.00	Facility		$3,087.00	$7,335.00	$14,743.00
United Facility/Professional Professional Modifier Low / Median / High Price $519.10 / $698.09 / $1,437.06	Professional		$519.10	$698.09	$1,437.06