Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,558.69 / $10,494.00 / $22,788.00	Facility		$1,558.69	$10,494.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $256.60 / $310.72 / $1,441.36	Professional		$256.60	$310.72	$1,441.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,329.05 / $5,913.00 / $12,527.00	Facility		$2,329.05	$5,913.00	$12,527.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $355.98 / $457.97 / $897.07	Professional		$355.98	$457.97	$897.07
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $1,693.95	Facility		$63.50	$100.00	$1,693.95
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $201.85 / $303.24 / $675.68	Professional		$201.85	$303.24	$675.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $274.94 / $346.04 / $938.31	Professional		$274.94	$346.04	$938.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $238.64 / $293.41 / $357.96	Professional		$238.64	$293.41	$357.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $265.52 / $341.62 / $619.83	Professional		$265.52	$341.62	$619.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,844.08 / $2,278.21	Facility		$55.00	$1,844.08	$2,278.21
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,998.00 / $2,047.52 / $2,423.48	Professional		$1,998.00	$2,047.52	$2,423.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $273.52 / $345.18 / $471.07	Facility		$273.52	$345.18	$471.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $278.05 / $346.22 / $787.72	Professional		$278.05	$346.22	$787.72
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $894.34 / $894.34 / $894.34	Professional		$894.34	$894.34	$894.34
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $238.64 / $310.24 / $405.70	Professional		$238.64	$310.24	$405.70
United Facility/Professional Facility Modifier Low / Median / High Price $2,047.00 / $5,319.00 / $20,279.00	Facility		$2,047.00	$5,319.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $234.61 / $345.20 / $847.36	Professional		$234.61	$345.20	$847.36