Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $673.91 / $2,264.00 / $16,288.00	Facility		$673.91	$2,264.00	$16,288.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $618.61 / $734.67 / $4,353.83	Professional		$618.61	$734.67	$4,353.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $271.87 / $934.00 / $4,057.60	Facility		$271.87	$934.00	$4,057.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $709.48 / $891.42 / $1,851.04	Professional		$709.48	$891.42	$1,851.04
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.30 / $395.92 / $1,817.66	Facility		$59.30	$395.92	$1,817.66
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $500.28 / $728.25 / $1,782.66	Professional		$500.28	$728.25	$1,782.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.21 / $1,275.50 / $3,359.31	Facility		$640.21	$1,275.50	$3,359.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $633.78 / $901.49 / $2,108.28	Professional		$633.78	$901.49	$2,108.28
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $603.48 / $989.59 / $1,335.95	Professional		$603.48	$989.59	$1,335.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $776.66 / $1,004.33 / $1,860.43	Professional		$776.66	$1,004.33	$1,860.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,707.73 / $5,563.56 / $5,563.56	Facility		$1,707.73	$5,563.56	$5,563.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,811.54 / $4,811.54 / $6,617.55	Professional		$4,811.54	$4,811.54	$6,617.55
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 $707.61 / $978.47 / $1,594.55	Facility		$707.61	$978.47	$1,594.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $646.29 / $950.12 / $2,072.54	Professional		$646.29	$950.12	$2,072.54
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,505.26 / $2,505.26 / $2,505.26	Professional		$2,505.26	$2,505.26	$2,505.26
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $800.14 / $1,100.20 / $1,611.49	Professional		$800.14	$1,100.20	$1,611.49
United Facility/Professional Facility Modifier Low / Median / High Price $634.49 / $634.49 / $1,491.61	Facility		$634.49	$634.49	$1,491.61
United Facility/Professional Professional Modifier Low / Median / High Price $523.50 / $965.40 / $2,228.51	Professional		$523.50	$965.40	$2,228.51