Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $607.14 / $9,674.00 / $22,788.00	Facility		$607.14	$9,674.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $503.73 / $607.14 / $3,141.38	Professional		$503.73	$607.14	$3,141.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,097.00 / $5,559.00 / $10,984.00	Facility		$2,097.00	$5,559.00	$10,984.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $579.98 / $736.33 / $1,517.91	Professional		$579.98	$736.33	$1,517.91
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 $401.15 / $583.02 / $1,389.81	Professional		$401.15	$583.02	$1,389.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.00 / $750.00 / $2,431.00	Facility		$633.00	$750.00	$2,431.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $525.00 / $744.68 / $1,656.60	Professional		$525.00	$744.68	$1,656.60
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $337.30 / $510.44 / $900.04	Professional		$337.30	$510.44	$900.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $575.33 / $751.73 / $1,363.56	Professional		$575.33	$751.73	$1,363.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,559.68 / $5,690.88	Facility		$55.00	$5,559.68	$5,690.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,646.20 / $4,646.20 / $5,292.00	Professional		$4,646.20	$4,646.20	$5,292.00
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 $589.67 / $767.10 / $1,113.59	Facility		$589.67	$767.10	$1,113.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $539.05 / $788.59 / $1,647.85	Professional		$539.05	$788.59	$1,647.85
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,949.16 / $1,949.16 / $1,949.16	Professional		$1,949.16	$1,949.16	$1,949.16
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $337.30 / $573.41 / $767.79	Professional		$337.30	$573.41	$767.79
United Facility/Professional Facility Modifier Low / Median / High Price $936.00 / $3,928.00 / $9,131.00	Facility		$936.00	$3,928.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $472.64 / $644.54 / $1,461.14	Professional		$472.64	$644.54	$1,461.14