Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $701.91 / $9,674.00 / $22,788.00	Facility		$701.91	$9,674.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $593.91 / $701.91 / $3,548.95	Professional		$593.91	$701.91	$3,548.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,675.00 / $8,805.92 / $18,758.00	Facility		$2,675.00	$8,805.92	$18,758.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $657.03 / $875.74 / $1,762.09	Professional		$657.03	$875.74	$1,762.09
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $5,487.90	Facility		$63.90	$100.00	$5,487.90
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $496.91 / $721.12 / $1,700.99	Professional		$496.91	$721.12	$1,700.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.00 / $766.00 / $5,431.00	Facility		$633.00	$766.00	$5,431.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $627.91 / $858.97 / $1,898.73	Professional		$627.91	$858.97	$1,898.73
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $421.82 / $638.33 / $1,015.14	Professional		$421.82	$638.33	$1,015.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $659.48 / $859.08 / $1,702.32	Professional		$659.48	$859.08	$1,702.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $6,414.40 / $6,466.88	Facility		$55.00	$6,414.40	$6,466.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,037.76 / $5,061.76 / $6,185.40	Professional		$5,037.76	$5,061.76	$6,185.40
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 $681.29 / $879.31 / $1,332.38	Facility		$681.29	$879.31	$1,332.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $636.08 / $917.04 / $1,832.26	Professional		$636.08	$917.04	$1,832.26
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,202.05 / $2,202.05 / $2,202.05	Professional		$2,202.05	$2,202.05	$2,202.05
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $421.82 / $708.10 / $865.46	Professional		$421.82	$708.10	$865.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $4,675.00 / $20,279.00	Facility		$1,152.00	$4,675.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $550.58 / $748.59 / $1,642.37	Professional		$550.58	$748.59	$1,642.37