Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $842.60 / $9,674.00 / $22,788.00	Facility		$842.60	$9,674.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $694.89 / $839.04 / $3,036.20	Professional		$694.89	$839.04	$3,036.20
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 $801.39 / $1,021.60 / $2,107.96	Professional		$801.39	$1,021.60	$2,107.96
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 $572.19 / $827.33 / $1,950.91	Professional		$572.19	$827.33	$1,950.91
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 $739.61 / $1,038.48 / $2,260.98	Professional		$739.61	$1,038.48	$2,260.98
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $555.47 / $840.59 / $1,204.83	Professional		$555.47	$840.59	$1,204.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $784.49 / $1,021.54 / $1,878.04	Professional		$784.49	$1,021.54	$1,878.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $7,708.88 / $7,882.40	Facility		$55.00	$7,708.88	$7,882.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,035.68 / $6,168.56 / $7,373.70	Professional		$6,035.68	$6,168.56	$7,373.70
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 $806.81 / $1,022.58 / $1,438.22	Facility		$806.81	$1,022.58	$1,438.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $745.16 / $1,095.50 / $2,260.98	Professional		$745.16	$1,095.50	$2,260.98
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,683.50 / $2,683.50 / $2,683.50	Professional		$2,683.50	$2,683.50	$2,683.50
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $555.47 / $840.37 / $1,027.10	Professional		$555.47	$840.37	$1,027.10
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 $680.40 / $913.74 / $2,016.90	Professional		$680.40	$913.74	$2,016.90