Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $462.00 / $5,576.00 / $17,030.00	Facility		$462.00	$5,576.00	$17,030.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.00 / $428.46 / $2,117.89	Professional		$316.00	$428.46	$2,117.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,863.00 / $11,400.00	Facility		$2,143.00	$5,863.00	$11,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $402.85 / $582.85 / $1,237.59	Professional		$402.85	$582.85	$1,237.59
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,320.59	Facility		$66.00	$100.00	$7,320.59
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $305.14 / $435.92 / $1,087.86	Professional		$305.14	$435.92	$1,087.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,761.60 / $2,081.89 / $4,904.76	Facility		$1,761.60	$2,081.89	$4,904.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $358.86 / $522.88 / $1,213.83	Professional		$358.86	$522.88	$1,213.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $253.16 / $484.66 / $794.16	Professional		$253.16	$484.66	$794.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $377.40 / $559.42 / $990.00	Professional		$377.40	$559.42	$990.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,957.29 / $3,047.52 / $16,394.00	Facility		$2,957.29	$3,047.52	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,674.08 / $3,559.28 / $4,163.03	Professional		$2,674.08	$3,559.28	$4,163.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $391.80 / $538.29 / $796.79	Facility		$391.80	$538.29	$796.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $368.82 / $554.75 / $1,201.54	Professional		$368.82	$554.75	$1,201.54
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,147.57 / $1,147.57 / $1,528.66	Professional		$1,147.57	$1,147.57	$1,528.66
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $319.26 / $455.70 / $678.81	Professional		$319.26	$455.70	$678.81
United Facility/Professional Facility Modifier Low / Median / High Price $3,698.00 / $7,106.00 / $16,148.00	Facility		$3,698.00	$7,106.00	$16,148.00
United Facility/Professional Professional Modifier Low / Median / High Price $358.02 / $517.14 / $1,619.51	Professional		$358.02	$517.14	$1,619.51