Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $499.57 / $4,932.00 / $16,713.00	Facility		$499.57	$4,932.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $358.17 / $446.14 / $2,040.85	Professional		$358.17	$446.14	$2,040.85
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 $386.92 / $593.76 / $1,228.56	Professional		$386.92	$593.76	$1,228.56
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 $315.27 / $450.39 / $1,058.95	Professional		$315.27	$450.39	$1,058.95
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 $370.52 / $509.16 / $1,139.58	Professional		$370.52	$509.16	$1,139.58
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $339.17 / $427.71 / $641.57	Professional		$339.17	$427.71	$641.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $348.57 / $481.82 / $871.99	Professional		$348.57	$481.82	$871.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,789.50 / $2,851.38 / $12,000.00	Facility		$2,789.50	$2,851.38	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,549.28 / $3,771.21 / $6,020.49	Professional		$2,549.28	$3,771.21	$6,020.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $380.37 / $543.92 / $951.62	Facility		$380.37	$543.92	$951.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $374.04 / $531.46 / $1,073.93	Professional		$374.04	$531.46	$1,073.93
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,153.09 / $1,153.09 / $1,412.77	Professional		$1,153.09	$1,153.09	$1,412.77
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $309.58 / $427.71 / $598.79	Professional		$309.58	$427.71	$598.79
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 $356.12 / $531.09 / $1,514.46	Professional		$356.12	$531.09	$1,514.46