Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $771.89 / $9,674.00 / $22,788.00	Facility		$771.89	$9,674.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $653.47 / $771.89 / $3,093.19	Professional		$653.47	$771.89	$3,093.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $6,916.00 / $16,361.00	Facility		$2,143.00	$6,916.00	$16,361.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $717.61 / $932.89 / $1,923.26	Professional		$717.61	$932.89	$1,923.26
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 $482.90 / $698.57 / $1,686.86	Professional		$482.90	$698.57	$1,686.86
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 $669.56 / $946.95 / $2,073.44	Professional		$669.56	$946.95	$2,073.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $295.23 / $446.77 / $1,110.54	Professional		$295.23	$446.77	$1,110.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $722.62 / $941.08 / $1,725.31	Professional		$722.62	$941.08	$1,725.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $6,209.56 / $6,352.50	Facility		$55.00	$6,209.56	$6,352.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,555.92 / $5,682.16 / $6,787.73	Professional		$5,555.92	$5,682.16	$6,787.73
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 $698.02 / $934.96 / $1,336.08	Facility		$698.02	$934.96	$1,336.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $673.90 / $1,002.28 / $2,080.64	Professional		$673.90	$1,002.28	$2,080.64
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,510.92 / $2,510.92 / $2,510.92	Professional		$2,510.92	$2,510.92	$2,510.92
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $295.23 / $531.41 / $946.74	Professional		$295.23	$531.41	$946.74
United Facility/Professional Facility Modifier Low / Median / High Price $828.00 / $4,675.00 / $20,279.00	Facility		$828.00	$4,675.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $616.41 / $823.93 / $1,840.77	Professional		$616.41	$823.93	$1,840.77