Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $728.24 / $4,932.00 / $16,850.00	Facility		$728.24	$4,932.00	$16,850.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.82 / $627.91 / $2,036.72	Professional		$316.82	$627.91	$2,036.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,597.00 / $9,381.00	Facility		$1,723.00	$4,597.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $293.81 / $425.08 / $808.57	Professional		$293.81	$425.08	$808.57
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,142.12	Facility		$66.00	$100.00	$5,142.12
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $343.96 / $616.87 / $1,170.32	Professional		$343.96	$616.87	$1,170.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,487.00 / $1,816.42 / $3,253.30	Facility		$1,487.00	$1,816.42	$3,253.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $352.42 / $632.96 / $1,288.31	Professional		$352.42	$632.96	$1,288.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $158.97 / $509.77 / $1,317.31	Professional		$158.97	$509.77	$1,317.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $430.15 / $918.76 / $1,649.68	Professional		$430.15	$918.76	$1,649.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,967.94 / $2,074.04 / $12,000.00	Facility		$1,967.94	$2,074.04	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,557.39 / $6,251.76 / $7,722.75	Professional		$3,557.39	$6,251.76	$7,722.75
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 $350.65 / $624.40 / $1,329.41	Facility		$350.65	$624.40	$1,329.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $357.36 / $686.47 / $1,509.97	Professional		$357.36	$686.47	$1,509.97
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,137.21 / $1,137.21 / $2,054.44	Professional		$1,137.21	$1,137.21	$2,054.44
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $222.56 / $419.72 / $1,218.61	Professional		$222.56	$419.72	$1,218.61
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,359.00 / $15,471.00	Facility		$3,523.00	$7,359.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $495.20 / $624.97 / $1,363.80	Professional		$495.20	$624.97	$1,363.80