Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $993.59 / $9,674.00 / $22,788.00	Facility		$993.59	$9,674.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $827.82 / $993.59 / $4,901.52	Professional		$827.82	$993.59	$4,901.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $4,314.00 / $8,260.00	Facility		$1,050.00	$4,314.00	$8,260.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $889.86 / $1,194.78 / $2,404.03	Professional		$889.86	$1,194.78	$2,404.03
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.90 / $100.00 / $5,349.65	Facility		$65.90	$100.00	$5,349.65
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $635.24 / $919.31 / $2,185.10	Professional		$635.24	$919.31	$2,185.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.00 / $766.00 / $2,431.00	Facility		$633.00	$766.00	$2,431.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $838.12 / $1,161.40 / $2,609.21	Professional		$838.12	$1,161.40	$2,609.21
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $546.91 / $827.64 / $1,350.66	Professional		$546.91	$827.64	$1,350.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $877.94 / $1,143.58 / $2,100.67	Professional		$877.94	$1,143.58	$2,100.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $8,614.00 / $8,801.84	Facility		$55.00	$8,614.00	$8,801.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,743.92 / $6,888.80 / $8,236.20	Professional		$6,743.92	$6,888.80	$8,236.20
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 $901.69 / $1,171.17 / $1,747.20	Facility		$901.69	$1,171.17	$1,747.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $861.02 / $1,222.61 / $2,552.64	Professional		$861.02	$1,222.61	$2,552.64
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,041.29 / $3,041.29 / $3,041.29	Professional		$3,041.29	$3,041.29	$3,041.29
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $546.91 / $929.74 / $1,151.50	Professional		$546.91	$929.74	$1,151.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,324.00 / $3,965.00 / $10,979.00	Facility		$1,324.00	$3,965.00	$10,979.00
United Facility/Professional Professional Modifier Low / Median / High Price $762.15 / $1,026.03 / $2,387.41	Professional		$762.15	$1,026.03	$2,387.41