Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $924.18 / $7,175.00 / $20,509.00	Facility		$924.18	$7,175.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $623.45 / $790.99 / $3,470.21	Professional		$623.45	$790.99	$3,470.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,500.00 / $8,484.00 / $18,150.00	Facility		$1,500.00	$8,484.00	$18,150.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $679.22 / $940.19 / $1,909.53	Professional		$679.22	$940.19	$1,909.53
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $9,907.12	Facility		$67.90	$100.00	$9,907.12
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $601.85 / $902.07 / $1,995.06	Professional		$601.85	$902.07	$1,995.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $643.00 / $3,461.93 / $9,842.49	Facility		$643.00	$3,461.93	$9,842.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $688.87 / $981.58 / $1,959.69	Professional		$688.87	$981.58	$1,959.69
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $543.55 / $853.63 / $1,341.20	Professional		$543.55	$853.63	$1,341.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $682.03 / $928.52 / $1,597.30	Professional		$682.03	$928.52	$1,597.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,616.58 / $4,739.76 / $26,542.00	Facility		$4,616.58	$4,739.76	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,883.35 / $6,212.32 / $7,242.15	Professional		$4,883.35	$6,212.32	$7,242.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $827.30	Professional		$32.34	$32.34	$827.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $680.22 / $924.93 / $1,403.94	Facility		$680.22	$924.93	$1,403.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $700.08 / $1,057.40 / $2,101.06	Professional		$700.08	$1,057.40	$2,101.06
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,153.19 / $2,153.19 / $2,732.64	Professional		$2,153.19	$2,153.19	$2,732.64
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $543.55 / $833.45 / $1,145.99	Professional		$543.55	$833.45	$1,145.99
United Facility/Professional Facility Modifier Low / Median / High Price $2,181.00 / $7,218.00 / $15,471.00	Facility		$2,181.00	$7,218.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $663.66 / $915.06 / $2,432.92	Professional		$663.66	$915.06	$2,432.92