Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $462.00 / $5,505.00 / $17,030.00	Facility		$462.00	$5,505.00	$17,030.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $274.62 / $371.87 / $1,165.56	Professional		$274.62	$371.87	$1,165.56
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 $351.52 / $502.89 / $1,050.88	Professional		$351.52	$502.89	$1,050.88
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,010.49	Facility		$66.00	$100.00	$7,010.49
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $253.04 / $377.49 / $885.68	Professional		$253.04	$377.49	$885.68
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 $312.08 / $447.45 / $1,050.88	Professional		$312.08	$447.45	$1,050.88
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $237.16 / $380.75 / $605.72	Professional		$237.16	$380.75	$605.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $293.58 / $433.06 / $738.79	Professional		$293.58	$433.06	$738.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,971.66 / $2,002.56 / $16,394.00	Facility		$1,971.66	$2,002.56	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,085.92 / $2,708.64 / $3,139.58	Professional		$2,085.92	$2,708.64	$3,139.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $309.64 / $442.79 / $618.75	Facility		$309.64	$442.79	$618.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $316.94 / $470.75 / $1,001.83	Professional		$316.94	$470.75	$1,001.83
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $972.24 / $972.24 / $1,269.17	Professional		$972.24	$972.24	$1,269.17
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $279.70 / $384.59 / $517.86	Professional		$279.70	$384.59	$517.86
United Facility/Professional Facility Modifier Low / Median / High Price $3,610.00 / $7,384.00 / $16,148.00	Facility		$3,610.00	$7,384.00	$16,148.00
United Facility/Professional Professional Modifier Low / Median / High Price $312.47 / $439.19 / $1,272.10	Professional		$312.47	$439.19	$1,272.10