Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.11 / $5,829.00 / $17,054.00	Facility		$794.11	$5,829.00	$17,054.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $214.45 / $628.83 / $1,267.35	Professional		$214.45	$628.83	$1,267.35
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 $231.10 / $613.26 / $2,030.76	Professional		$231.10	$613.26	$2,030.76
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,121.41	Facility		$66.00	$100.00	$7,121.41
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $178.71 / $495.22 / $1,294.28	Professional		$178.71	$495.22	$1,294.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,091.14 / $2,471.35 / $5,822.29	Facility		$2,091.14	$2,471.35	$5,822.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.89 / $668.96 / $2,086.56	Professional		$193.89	$668.96	$2,086.56
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $166.05 / $209.40 / $1,107.01	Professional		$166.05	$209.40	$1,107.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $172.34 / $634.00 / $1,351.42	Professional		$172.34	$634.00	$1,351.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $838.90 / $1,304.26 / $16,394.00	Facility		$838.90	$1,304.26	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,648.37 / $8,718.02 / $8,979.56	Professional		$2,648.37	$8,718.02	$8,979.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $200.99 / $345.39 / $1,332.06	Facility		$200.99	$345.39	$1,332.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $197.15 / $678.96 / $2,013.20	Professional		$197.15	$678.96	$2,013.20
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $571.55 / $571.55 / $2,461.34	Professional		$571.55	$571.55	$2,461.34
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $151.46 / $209.40 / $1,025.72	Professional		$151.46	$209.40	$1,025.72
United Facility/Professional Facility Modifier Low / Median / High Price $3,459.00 / $7,352.00 / $15,471.00	Facility		$3,459.00	$7,352.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $582.67 / $947.97 / $2,541.60	Professional		$582.67	$947.97	$2,541.60