Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $392.60 / $6,229.00 / $17,380.00	Facility		$392.60	$6,229.00	$17,380.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.56 / $348.23 / $1,333.89	Professional		$240.56	$348.23	$1,333.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,629.00 / $7,028.00 / $15,328.00	Facility		$2,629.00	$7,028.00	$15,328.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $342.87 / $539.54 / $1,020.22	Professional		$342.87	$539.54	$1,020.22
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,114.52	Facility		$66.00	$100.00	$8,114.52
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $271.18 / $387.40 / $803.32	Professional		$271.18	$387.40	$803.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,006.98 / $2,006.98 / $2,371.89	Facility		$2,006.98	$2,006.98	$2,371.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $267.20 / $396.19 / $869.75	Professional		$267.20	$396.19	$869.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $188.38 / $326.69 / $534.21	Professional		$188.38	$326.69	$534.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $248.94 / $356.14 / $609.88	Professional		$248.94	$356.14	$609.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,167.56 / $1,210.54 / $26,542.00	Facility		$1,167.56	$1,210.54	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,761.28 / $2,534.56 / $2,899.05	Professional		$1,761.28	$2,534.56	$2,899.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $273.83 / $390.00 / $573.78	Facility		$273.83	$390.00	$573.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $270.29 / $405.76 / $930.67	Professional		$270.29	$405.76	$930.67
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $827.65 / $827.65 / $1,157.04	Professional		$827.65	$827.65	$1,157.04
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $188.38 / $301.79 / $439.14	Professional		$188.38	$301.79	$439.14
United Facility/Professional Facility Modifier Low / Median / High Price $5,116.00 / $9,810.00 / $22,073.00	Facility		$5,116.00	$9,810.00	$22,073.00
United Facility/Professional Professional Modifier Low / Median / High Price $294.49 / $418.20 / $1,126.97	Professional		$294.49	$418.20	$1,126.97