Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.14 / $6,695.00 / $18,252.00	Facility		$691.14	$6,695.00	$18,252.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $442.54 / $618.47 / $2,924.70	Professional		$442.54	$618.47	$2,924.70
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 $523.66 / $736.07 / $1,441.52	Professional		$523.66	$736.07	$1,441.52
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $9,616.59	Facility		$66.00	$100.00	$9,616.59
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $474.91 / $670.04 / $1,483.36	Professional		$474.91	$670.04	$1,483.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,813.00 / $3,101.23 / $5,554.45	Facility		$2,813.00	$3,101.23	$5,554.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $525.21 / $756.73 / $1,370.21	Professional		$525.21	$756.73	$1,370.21
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $536.11 / $702.40 / $1,068.42	Professional		$536.11	$702.40	$1,068.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $494.71 / $721.77 / $1,292.42	Professional		$494.71	$721.77	$1,292.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,301.60 / $2,448.86 / $26,542.00	Facility		$2,301.60	$2,448.86	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,617.12 / $4,810.08 / $5,455.05	Professional		$3,617.12	$4,810.08	$5,455.05
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 $572.35 / $761.03 / $1,082.83	Facility		$572.35	$761.03	$1,082.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $540.91 / $801.75 / $1,488.22	Professional		$540.91	$801.75	$1,488.22
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,618.78 / $1,618.78 / $2,228.27	Professional		$1,618.78	$1,618.78	$2,228.27
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $510.76 / $696.95 / $965.00	Professional		$510.76	$696.95	$965.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,384.00 / $15,471.00	Facility		$3,523.00	$7,384.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $522.99 / $691.20 / $1,517.21	Professional		$522.99	$691.20	$1,517.21