Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.04 / $9,639.00 / $20,509.00	Facility		$524.04	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $434.65 / $524.04 / $2,655.14	Professional		$434.65	$524.04	$2,655.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $6,978.00 / $13,707.00	Facility		$2,456.00	$6,978.00	$13,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $564.05 / $838.59 / $1,553.45	Professional		$564.05	$838.59	$1,553.45
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,919.63	Facility		$66.00	$100.00	$6,919.63
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $396.74 / $570.22 / $1,295.84	Professional		$396.74	$570.22	$1,295.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,816.42 / $1,819.64 / $3,253.30	Facility		$1,816.42	$1,819.64	$3,253.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $506.27 / $641.58 / $1,368.04	Professional		$506.27	$641.58	$1,368.04
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $253.16 / $580.11 / $783.15	Professional		$253.16	$580.11	$783.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $484.79 / $663.55 / $1,194.97	Professional		$484.79	$663.55	$1,194.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,292.29 / $5,246.20	Facility		$55.00	$1,292.29	$5,246.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,686.08 / $3,762.64 / $4,489.72	Professional		$3,686.08	$3,762.64	$4,489.72
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 $517.37 / $646.39 / $888.78	Facility		$517.37	$646.39	$888.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $508.78 / $669.60 / $1,362.12	Professional		$508.78	$669.60	$1,362.12
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,647.47 / $1,647.47 / $1,647.47	Professional		$1,647.47	$1,647.47	$1,647.47
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $329.11 / $467.78 / $643.19	Professional		$329.11	$467.78	$643.19
United Facility/Professional Facility Modifier Low / Median / High Price $2,048.00 / $4,060.00 / $9,131.00	Facility		$2,048.00	$4,060.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $403.74 / $535.32 / $1,100.38	Professional		$403.74	$535.32	$1,100.38