Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.84 / $9,674.00 / $22,788.00	Facility		$691.84	$9,674.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $583.15 / $691.84 / $3,574.64	Professional		$583.15	$691.84	$3,574.64
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 $660.20 / $865.30 / $1,737.02	Professional		$660.20	$865.30	$1,737.02
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.70 / $100.00 / $5,367.09	Facility		$66.70	$100.00	$5,367.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $493.46 / $729.43 / $1,722.01	Professional		$493.46	$729.43	$1,722.01
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 $637.12 / $861.47 / $1,866.15	Professional		$637.12	$861.47	$1,866.15
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $505.96 / $765.01 / $994.51	Professional		$505.96	$765.01	$994.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $645.05 / $840.55 / $1,541.63	Professional		$645.05	$840.55	$1,541.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $6,316.72 / $6,449.36	Facility		$55.00	$6,316.72	$6,449.36
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,818.02 / $10,112.56 / $10,112.56	Professional		$9,818.02	$10,112.56	$10,112.56
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 $670.88 / $872.14 / $1,298.14	Facility		$670.88	$872.14	$1,298.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $644.83 / $930.26 / $1,841.42	Professional		$644.83	$930.26	$1,841.42
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,218.01 / $2,218.01 / $2,218.01	Professional		$2,218.01	$2,218.01	$2,218.01
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $505.96 / $708.34 / $910.72	Professional		$505.96	$708.34	$910.72
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 $558.16 / $744.95 / $1,655.99	Professional		$558.16	$744.95	$1,655.99