Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $655.00 / $6,342.00 / $17,393.00	Facility		$655.00	$6,342.00	$17,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.29 / $461.37 / $2,018.00	Professional		$316.29	$461.37	$2,018.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,450.00 / $6,797.00 / $13,326.00	Facility		$1,450.00	$6,797.00	$13,326.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $353.53 / $524.57 / $1,105.29	Professional		$353.53	$524.57	$1,105.29
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.80 / $100.00 / $7,501.98	Facility		$69.80	$100.00	$7,501.98
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $312.51 / $446.44 / $991.54	Professional		$312.51	$446.44	$991.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $601.40 / $1,766.05 / $4,917.14	Facility		$601.40	$1,766.05	$4,917.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $353.21 / $548.40 / $1,103.09	Professional		$353.21	$548.40	$1,103.09
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $295.23 / $497.32 / $861.87	Professional		$295.23	$497.32	$861.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $559.91 / $963.90	Professional		$363.08	$559.91	$963.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,446.56 / $2,498.52 / $26,542.00	Facility		$2,446.56	$2,498.52	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,602.00 / $3,739.28 / $4,415.63	Professional		$2,602.00	$3,739.28	$4,415.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $732.42	Professional		$32.34	$32.34	$732.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $376.27 / $548.03 / $838.14	Facility		$376.27	$548.03	$838.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $359.06 / $620.26 / $1,255.20	Professional		$359.06	$620.26	$1,255.20
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $4,355.00 / $4,355.00 / $4,355.00	Facility		$4,355.00	$4,355.00	$4,355.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,161.67 / $1,161.67 / $1,712.26	Professional		$1,161.67	$1,161.67	$1,712.26
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $334.56 / $460.02 / $709.19	Professional		$334.56	$460.02	$709.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $7,034.00 / $14,743.00	Facility		$1,300.00	$7,034.00	$14,743.00
United Facility/Professional Professional Modifier Low / Median / High Price $401.76 / $550.55 / $1,320.00	Professional		$401.76	$550.55	$1,320.00