Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $488.64 / $4,932.00 / $16,713.00	Facility		$488.64	$4,932.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $349.89 / $436.26 / $1,991.40	Professional		$349.89	$436.26	$1,991.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,759.00 / $4,814.00 / $13,012.00	Facility		$1,759.00	$4,814.00	$13,012.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $377.46 / $584.33 / $1,215.82	Professional		$377.46	$584.33	$1,215.82
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,714.18	Facility		$66.00	$100.00	$5,714.18
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $307.97 / $439.95 / $1,034.26	Professional		$307.97	$439.95	$1,034.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,038.17 / $7,136.02 / $16,811.84	Facility		$6,038.17	$7,136.02	$16,811.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $361.73 / $497.83 / $1,137.58	Professional		$361.73	$497.83	$1,137.58
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $374.50 / $486.85 / $657.38	Professional		$374.50	$486.85	$657.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $340.29 / $469.60 / $849.85	Professional		$340.29	$469.60	$849.85
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,112.00 / $3,180.56 / $12,000.00	Facility		$3,112.00	$3,180.56	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,488.48 / $3,920.07 / $6,109.63	Professional		$2,488.48	$3,920.07	$6,109.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $398.04 / $541.22 / $978.41	Facility		$398.04	$541.22	$978.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $365.00 / $518.92 / $1,045.61	Professional		$365.00	$518.92	$1,045.61
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,125.01 / $1,125.01 / $1,376.26	Professional		$1,125.01	$1,125.01	$1,376.26
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $349.66 / $524.50 / $771.67	Professional		$349.66	$524.50	$771.67
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,384.00 / $15,471.00	Facility		$3,523.00	$7,384.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $348.60 / $519.44 / $1,421.03	Professional		$348.60	$519.44	$1,421.03