Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $449.25 / $4,941.00 / $16,713.00	Facility		$449.25	$4,941.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.84 / $369.99 / $717.63	Professional		$158.84	$369.99	$717.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $4,465.00 / $9,381.00	Facility		$1,615.00	$4,465.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $253.34 / $570.04 / $992.93	Professional		$253.34	$570.04	$992.93
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.80 / $100.00 / $11,263.00	Facility		$65.80	$100.00	$11,263.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $185.68 / $356.98 / $682.93	Professional		$185.68	$356.98	$682.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.32 / $329.22 / $791.76	Professional		$152.32	$329.22	$791.76
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $133.74 / $381.61 / $481.24	Professional		$133.74	$381.61	$481.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.40 / $279.72 / $462.27	Professional		$128.40	$279.72	$462.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $594.91 / $614.17 / $26,542.00	Facility		$594.91	$614.17	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,952.00 / $2,350.34 / $2,479.14	Professional		$1,952.00	$2,350.34	$2,479.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $150.97 / $311.49 / $583.94	Facility		$150.97	$311.49	$583.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $156.12 / $351.74 / $791.76	Professional		$156.12	$351.74	$791.76
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $427.95 / $427.95 / $1,015.80	Professional		$427.95	$427.95	$1,015.80
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $125.60 / $381.61 / $721.86	Professional		$125.60	$381.61	$721.86
United Facility/Professional Facility Modifier Low / Median / High Price $548.00 / $1,523.00 / $6,920.00	Facility		$548.00	$1,523.00	$6,920.00
United Facility/Professional Professional Modifier Low / Median / High Price $255.49 / $401.33 / $931.00	Professional		$255.49	$401.33	$931.00