Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $507.29 / $4,932.00 / $16,713.00	Facility		$507.29	$4,932.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $356.13 / $451.96 / $2,029.85	Professional		$356.13	$451.96	$2,029.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,759.00 / $4,814.00 / $10,705.00	Facility		$1,759.00	$4,814.00	$10,705.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.94 / $609.45 / $1,216.47	Professional		$398.94	$609.45	$1,216.47
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,609.24	Facility		$66.00	$100.00	$5,609.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $312.07 / $445.82 / $1,048.21	Professional		$312.07	$445.82	$1,048.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,185.52 / $3,764.71 / $8,869.33	Facility		$3,185.52	$3,764.71	$8,869.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $374.80 / $524.73 / $1,129.39	Professional		$374.80	$524.73	$1,129.39
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $337.30 / $425.37 / $638.05	Professional		$337.30	$425.37	$638.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $346.90 / $477.90 / $863.00	Professional		$346.90	$477.90	$863.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,775.85 / $2,837.38 / $12,000.00	Facility		$2,775.85	$2,837.38	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,536.56 / $3,820.83 / $6,333.47	Professional		$2,536.56	$3,820.83	$6,333.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $368.47 / $542.52 / $995.45	Facility		$368.47	$542.52	$995.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $383.54 / $545.09 / $1,075.92	Professional		$383.54	$545.09	$1,075.92
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,146.64 / $1,146.64 / $1,399.10	Professional		$1,146.64	$1,146.64	$1,399.10
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $308.08 / $425.37 / $595.51	Professional		$308.08	$425.37	$595.51
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,359.00 / $15,471.00	Facility		$3,523.00	$7,359.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $354.54 / $559.40 / $1,499.81	Professional		$354.54	$559.40	$1,499.81