Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $563.00 / $5,980.00 / $17,013.00	Facility		$563.00	$5,980.00	$17,013.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $315.55 / $437.70 / $1,878.03	Professional		$315.55	$437.70	$1,878.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,675.00 / $6,797.00 / $13,707.00	Facility		$2,675.00	$6,797.00	$13,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $404.65 / $590.55 / $1,145.65	Professional		$404.65	$590.55	$1,145.65
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,864.42	Facility		$66.00	$100.00	$7,864.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $357.66 / $510.94 / $1,061.11	Professional		$357.66	$510.94	$1,061.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $356.88 / $534.79 / $1,003.57	Professional		$356.88	$534.79	$1,003.57
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $322.77 / $502.94 / $876.68	Professional		$322.77	$502.94	$876.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $374.28 / $572.41 / $1,100.00	Professional		$374.28	$572.41	$1,100.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,518.98 / $2,561.64 / $26,542.00	Facility		$2,518.98	$2,561.64	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,648.32 / $3,750.56 / $4,426.88	Professional		$2,648.32	$3,750.56	$4,426.88
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 $367.49 / $524.80 / $784.20	Facility		$367.49	$524.80	$784.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $363.91 / $552.84 / $1,005.65	Professional		$363.91	$552.84	$1,005.65
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,165.82 / $1,165.82 / $1,685.15	Professional		$1,165.82	$1,165.82	$1,685.15
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $353.18 / $485.63 / $721.52	Professional		$353.18	$485.63	$721.52
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,533.00 / $5,691.00	Facility		$587.00	$1,533.00	$5,691.00
United Facility/Professional Professional Modifier Low / Median / High Price $392.84 / $524.74 / $1,513.21	Professional		$392.84	$524.74	$1,513.21