Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $648.58 / $6,423.00 / $17,393.00	Facility		$648.58	$6,423.00	$17,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $415.75 / $590.85 / $1,449.35	Professional		$415.75	$590.85	$1,449.35
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 $474.08 / $600.36 / $1,329.45	Professional		$474.08	$600.36	$1,329.45
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,138.75	Facility		$66.00	$100.00	$8,138.75
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $445.53 / $636.47 / $1,297.30	Professional		$445.53	$636.47	$1,297.30
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 $398.39 / $702.48 / $1,336.60	Professional		$398.39	$702.48	$1,336.60
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $211.09 / $633.54 / $1,068.77	Professional		$211.09	$633.54	$1,068.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $500.90 / $733.78 / $1,234.05	Professional		$500.90	$733.78	$1,234.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,312.12 / $2,487.29 / $26,542.00	Facility		$2,312.12	$2,487.29	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,600.56 / $4,721.92 / $5,450.48	Professional		$3,600.56	$4,721.92	$5,450.48
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 $407.70 / $667.07 / $1,008.39	Facility		$407.70	$667.07	$1,008.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $398.83 / $746.97 / $1,453.66	Professional		$398.83	$746.97	$1,453.66
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,599.02 / $1,599.02 / $2,191.67	Professional		$1,599.02	$1,599.02	$2,191.67
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $295.52 / $523.40 / $879.69	Professional		$295.52	$523.40	$879.69
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,359.00 / $15,471.00	Facility		$3,523.00	$7,359.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $492.18 / $655.72 / $1,528.57	Professional		$492.18	$655.72	$1,528.57