Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $601.90 / $9,639.00 / $20,509.00	Facility		$601.90	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $490.36 / $621.80 / $3,272.76	Professional		$490.36	$621.80	$3,272.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $9,447.00 / $18,544.00	Facility		$3,028.00	$9,447.00	$18,544.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.68 / $972.86 / $1,777.88	Professional		$758.68	$972.86	$1,777.88
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,010.49	Facility		$66.00	$100.00	$7,010.49
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $452.89 / $650.75 / $1,480.57	Professional		$452.89	$650.75	$1,480.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,302.26 / $4,123.45	Facility		$2,277.00	$2,302.26	$4,123.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $572.37 / $747.45 / $1,611.25	Professional		$572.37	$747.45	$1,611.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $421.82 / $711.61 / $960.67	Professional		$421.82	$711.61	$960.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $595.83 / $809.81 / $1,468.16	Professional		$595.83	$809.81	$1,468.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,181.17 / $6,649.40	Facility		$55.00	$4,181.17	$6,649.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,538.80 / $4,637.92 / $5,529.60	Professional		$4,538.80	$4,637.92	$5,529.60
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 $649.84 / $798.00 / $1,147.55	Facility		$649.84	$798.00	$1,147.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $587.62 / $785.91 / $1,660.66	Professional		$587.62	$785.91	$1,660.66
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,030.69 / $2,030.69 / $2,030.69	Professional		$2,030.69	$2,030.69	$2,030.69
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $548.36 / $645.50 / $797.92	Professional		$548.36	$645.50	$797.92
United Facility/Professional Facility Modifier Low / Median / High Price $4,110.00 / $9,707.00 / $20,988.00	Facility		$4,110.00	$9,707.00	$20,988.00
United Facility/Professional Professional Modifier Low / Median / High Price $486.30 / $642.25 / $1,442.93	Professional		$486.30	$642.25	$1,442.93