Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.93 / $9,674.00 / $22,788.00	Facility		$676.93	$9,674.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $556.03 / $654.29 / $3,238.20	Professional		$556.03	$654.29	$3,238.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,675.00 / $10,474.00 / $21,835.83	Facility		$2,675.00	$10,474.00	$21,835.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $638.02 / $891.99 / $1,750.83	Professional		$638.02	$891.99	$1,750.83
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 $492.66 / $735.04 / $1,650.63	Professional		$492.66	$735.04	$1,650.63
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 $589.45 / $806.46 / $1,770.85	Professional		$589.45	$806.46	$1,770.85
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $581.53 / $730.27 / $985.86	Professional		$581.53	$730.27	$985.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $599.89 / $787.58 / $1,407.47	Professional		$599.89	$787.58	$1,407.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,046.30 / $5,173.84	Facility		$55.00	$5,046.30	$5,173.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,421.14 / $6,421.14 / $6,421.14	Professional		$6,421.14	$6,421.14	$6,421.14
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 $625.16 / $827.06 / $1,424.95	Facility		$625.16	$827.06	$1,424.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $619.80 / $861.75 / $1,674.98	Professional		$619.80	$861.75	$1,674.98
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,009.25 / $2,009.25 / $2,009.25	Professional		$2,009.25	$2,009.25	$2,009.25
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $581.53 / $810.81 / $1,046.76	Professional		$581.53	$810.81	$1,046.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,055.00 / $4,820.00 / $20,279.00	Facility		$1,055.00	$4,820.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $495.33 / $672.22 / $1,515.25	Professional		$495.33	$672.22	$1,515.25