Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.99 / $9,639.00 / $20,509.00	Facility		$645.99	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $541.13 / $712.70 / $4,073.89	Professional		$541.13	$712.70	$4,073.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,314.00 / $10,856.95 / $23,548.00	Facility		$4,314.00	$10,856.95	$23,548.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $879.76 / $1,100.55 / $2,193.46	Professional		$879.76	$1,100.55	$2,193.46
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $7,300.60	Facility		$63.90	$100.00	$7,300.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $508.95 / $730.03 / $1,670.95	Professional		$508.95	$730.03	$1,670.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,277.00 / $2,277.00	Facility		$2,277.00	$2,277.00	$2,277.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $623.08 / $863.03 / $1,927.54	Professional		$623.08	$863.03	$1,927.54
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $558.45 / $845.10 / $1,118.19	Professional		$558.45	$845.10	$1,118.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $729.30 / $1,009.70 / $1,826.00	Professional		$729.30	$1,009.70	$1,826.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $7,146.88 / $7,290.56	Facility		$55.00	$7,146.88	$7,290.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,736.51 / $6,736.51 / $6,736.51	Professional		$6,736.51	$6,736.51	$6,736.51
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 $770.56 / $983.83 / $1,360.08	Facility		$770.56	$983.83	$1,360.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $630.73 / $910.57 / $2,001.70	Professional		$630.73	$910.57	$2,001.70
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,527.78 / $2,527.78 / $2,527.78	Professional		$2,527.78	$2,527.78	$2,527.78
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $721.83 / $837.68 / $1,056.38	Professional		$721.83	$837.68	$1,056.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,836.00 / $5,067.00 / $18,493.00	Facility		$1,836.00	$5,067.00	$18,493.00
United Facility/Professional Professional Modifier Low / Median / High Price $569.41 / $753.81 / $1,810.37	Professional		$569.41	$753.81	$1,810.37