Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $685.38 / $9,674.00 / $22,788.00	Facility		$685.38	$9,674.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $564.45 / $664.97 / $3,293.97	Professional		$564.45	$664.97	$3,293.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,822.00 / $8,656.00 / $19,298.00	Facility		$2,822.00	$8,656.00	$19,298.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $647.84 / $847.80 / $1,642.41	Professional		$647.84	$847.80	$1,642.41
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.70 / $100.00 / $5,367.09	Facility		$66.70	$100.00	$5,367.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $486.11 / $725.38 / $1,655.58	Professional		$486.11	$725.38	$1,655.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.00 / $750.00 / $5,431.00	Facility		$633.00	$750.00	$5,431.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $596.40 / $815.48 / $1,776.24	Professional		$596.40	$815.48	$1,776.24
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $707.37 / $737.73 / $995.94	Professional		$707.37	$737.73	$995.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $607.02 / $796.79 / $1,425.42	Professional		$607.02	$796.79	$1,425.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,115.53 / $5,254.20	Facility		$55.00	$5,115.53	$5,254.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,637.76 / $4,761.84 / $5,382.30	Professional		$4,637.76	$4,761.84	$5,382.30
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 $632.99 / $830.06 / $1,400.00	Facility		$632.99	$830.06	$1,400.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $620.02 / $865.50 / $1,696.45	Professional		$620.02	$865.50	$1,696.45
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,043.84 / $2,043.84 / $2,043.84	Professional		$2,043.84	$2,043.84	$2,043.84
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $658.72 / $819.07 / $1,273.27	Professional		$658.72	$819.07	$1,273.27
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $4,675.00 / $20,279.00	Facility		$1,204.00	$4,675.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $507.92 / $684.93 / $1,530.88	Professional		$507.92	$684.93	$1,530.88