Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $768.66 / $9,029.00 / $20,135.00	Facility		$768.66	$9,029.00	$20,135.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $621.99 / $768.10 / $3,833.80	Professional		$621.99	$768.10	$3,833.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.00 / $5,863.00 / $11,400.00	Facility		$2,137.00	$5,863.00	$11,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $813.20 / $1,191.45 / $2,171.52	Professional		$813.20	$1,191.45	$2,171.52
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,100.20	Facility		$66.00	$100.00	$7,100.20
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $574.65 / $825.99 / $1,878.62	Professional		$574.65	$825.99	$1,878.62
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 $725.27 / $920.47 / $1,990.72	Professional		$725.27	$920.47	$1,990.72
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $397.24 / $896.39 / $1,210.13	Professional		$397.24	$896.39	$1,210.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $725.82 / $1,004.73 / $1,774.06	Professional		$725.82	$1,004.73	$1,774.06
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,870.16 / $5,246.20	Facility		$55.00	$2,870.16	$5,246.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,573.28 / $5,694.00 / $6,583.35	Professional		$5,573.28	$5,694.00	$6,583.35
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 $724.36 / $968.30 / $1,434.22	Facility		$724.36	$968.30	$1,434.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $728.33 / $971.11 / $1,978.81	Professional		$728.33	$971.11	$1,978.81
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,378.79 / $2,378.79 / $2,378.79	Professional		$2,378.79	$2,378.79	$2,378.79
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $516.41 / $723.61 / $994.96	Professional		$516.41	$723.61	$994.96
United Facility/Professional Facility Modifier Low / Median / High Price $3,698.00 / $7,106.00 / $14,636.00	Facility		$3,698.00	$7,106.00	$14,636.00
United Facility/Professional Professional Modifier Low / Median / High Price $582.96 / $782.25 / $1,618.53	Professional		$582.96	$782.25	$1,618.53