Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $818.86 / $6,423.00 / $16,713.00	Facility		$818.86	$6,423.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.75 / $438.36 / $1,356.05	Professional		$144.75	$438.36	$1,356.05
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 $160.06 / $435.32 / $1,042.08	Professional		$160.06	$435.32	$1,042.08
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.70 / $100.00 / $7,374.24	Facility		$66.70	$100.00	$7,374.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $146.93 / $342.69 / $721.06	Professional		$146.93	$342.69	$721.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,212.60 / $1,433.09 / $3,376.23	Facility		$1,212.60	$1,433.09	$3,376.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.69 / $396.61 / $1,115.07	Professional		$147.69	$396.61	$1,115.07
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $136.63 / $171.67 / $584.75	Professional		$136.63	$171.67	$584.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.41 / $364.56 / $666.66	Professional		$141.41	$364.56	$666.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $654.52 / $688.61 / $16,394.00	Facility		$654.52	$688.61	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,610.89 / $3,502.01 / $3,607.07	Professional		$1,610.89	$3,502.01	$3,607.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $136.94 / $309.56 / $693.59	Facility		$136.94	$309.56	$693.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $148.18 / $407.30 / $1,035.97	Professional		$148.18	$407.30	$1,035.97
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $459.61 / $459.61 / $1,289.09	Professional		$459.61	$459.61	$1,289.09
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $126.00 / $173.25 / $500.03	Professional		$126.00	$173.25	$500.03
United Facility/Professional Facility Modifier Low / Median / High Price $3,459.00 / $7,359.00 / $15,471.00	Facility		$3,459.00	$7,359.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $307.16 / $502.48 / $1,339.80	Professional		$307.16	$502.48	$1,339.80