Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.85 / $9,674.00 / $22,788.00	Facility		$755.85	$9,674.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $638.61 / $756.26 / $3,970.45	Professional		$638.61	$756.26	$3,970.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,619.00 / $8,484.00 / $18,150.00	Facility		$2,619.00	$8,484.00	$18,150.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $732.84 / $964.48 / $1,958.88	Professional		$732.84	$964.48	$1,958.88
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 $532.66 / $789.05 / $1,866.24	Professional		$532.66	$789.05	$1,866.24
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 $687.06 / $946.28 / $2,113.92	Professional		$687.06	$946.28	$2,113.92
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $581.53 / $841.56 / $1,100.04	Professional		$581.53	$841.56	$1,100.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $710.89 / $926.04 / $1,700.67	Professional		$710.89	$926.04	$1,700.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $6,101.20 / $6,237.56	Facility		$55.00	$6,101.20	$6,237.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,458.80 / $5,578.64 / $6,666.83	Professional		$5,458.80	$5,578.64	$6,666.83
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 $739.63 / $935.11 / $1,448.60	Facility		$739.63	$935.11	$1,448.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $705.05 / $1,006.39 / $2,035.90	Professional		$705.05	$1,006.39	$2,035.90
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,463.59 / $2,463.59 / $2,463.59	Professional		$2,463.59	$2,463.59	$2,463.59
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $581.53 / $814.15 / $1,046.76	Professional		$581.53	$814.15	$1,046.76
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 $604.27 / $816.88 / $1,818.13	Professional		$604.27	$816.88	$1,818.13