Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,194.40 / $6,695.00 / $17,902.00	Facility		$1,194.40	$6,695.00	$17,902.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.96 / $217.44 / $1,089.77	Professional		$188.96	$217.44	$1,089.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $6,048.00 / $13,697.00	Facility		$2,143.00	$6,048.00	$13,697.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.50 / $368.79 / $709.08	Professional		$269.50	$368.79	$709.08
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,392.69	Facility		$66.00	$100.00	$8,392.69
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $160.72 / $240.93 / $595.22	Professional		$160.72	$240.93	$595.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.01 / $295.47 / $922.57	Professional		$216.01	$295.47	$922.57
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $196.57 / $212.76 / $276.58	Professional		$196.57	$212.76	$276.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $191.99 / $249.85 / $439.74	Professional		$191.99	$249.85	$439.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,255.66 / $18,067.15	Facility		$55.00	$1,255.66	$18,067.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,487.52 / $1,593.90	Professional		$1,445.44	$1,487.52	$1,593.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $202.39 / $245.99 / $340.42	Facility		$202.39	$245.99	$340.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $226.94 / $303.30 / $688.42	Professional		$226.94	$303.30	$688.42
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $676.18 / $676.18 / $676.18	Professional		$676.18	$676.18	$676.18
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $193.31 / $236.27 / $334.18	Professional		$193.31	$236.27	$334.18
United Facility/Professional Facility Modifier Low / Median / High Price $4,728.00 / $9,759.00 / $22,073.00	Facility		$4,728.00	$9,759.00	$22,073.00
United Facility/Professional Professional Modifier Low / Median / High Price $172.55 / $264.67 / $688.82	Professional		$172.55	$264.67	$688.82