Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $638.62 / $9,674.00 / $22,788.00	Facility		$638.62	$9,674.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $530.22 / $660.85 / $3,449.10	Professional		$530.22	$660.85	$3,449.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,275.00 / $6,914.64 / $14,743.00	Facility		$2,275.00	$6,914.64	$14,743.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $602.60 / $789.81 / $1,598.64	Professional		$602.60	$789.81	$1,598.64
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.70 / $100.00 / $5,403.01	Facility		$66.70	$100.00	$5,403.01
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $456.54 / $666.50 / $1,593.27	Professional		$456.54	$666.50	$1,593.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.00 / $759.22 / $5,431.00	Facility		$633.00	$759.22	$5,431.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $565.30 / $805.70 / $1,772.72	Professional		$565.30	$805.70	$1,772.72
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $468.73 / $709.32 / $991.34	Professional		$468.73	$709.32	$991.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $633.52 / $827.76 / $1,501.32	Professional		$633.52	$827.76	$1,501.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,589.93 / $4,675.74	Facility		$55.00	$4,589.93	$4,675.74
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,789.28 / $4,878.32 / $5,827.20	Professional		$4,789.28	$4,878.32	$5,827.20
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 $652.17 / $844.69 / $1,215.41	Facility		$652.17	$844.69	$1,215.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $578.98 / $859.52 / $1,772.72	Professional		$578.98	$859.52	$1,772.72
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,140.11 / $2,140.11 / $2,140.11	Professional		$2,140.11	$2,140.11	$2,140.11
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $468.73 / $691.91 / $845.67	Professional		$468.73	$691.91	$845.67
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $4,675.00 / $20,279.00	Facility		$1,204.00	$4,675.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $511.61 / $709.08 / $1,666.00	Professional		$511.61	$709.08	$1,666.00