Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $654.86 / $5,812.00 / $17,013.00	Facility		$654.86	$5,812.00	$17,013.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $244.72 / $530.49 / $1,431.70	Professional		$244.72	$530.49	$1,431.70
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 $282.66 / $583.66 / $1,295.75	Professional		$282.66	$583.66	$1,295.75
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,007.97	Facility		$66.00	$100.00	$7,007.97
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $255.90 / $492.12 / $961.41	Professional		$255.90	$492.12	$961.41
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 $258.54 / $557.79 / $1,371.93	Professional		$258.54	$557.79	$1,371.93
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $198.06 / $297.77 / $830.48	Professional		$198.06	$297.77	$830.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $246.64 / $529.05 / $956.51	Professional		$246.64	$529.05	$956.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,143.88 / $1,201.28 / $16,394.00	Facility		$1,143.88	$1,201.28	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,951.96 / $4,157.26 / $4,313.03	Professional		$1,951.96	$4,157.26	$4,313.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $267.43 / $475.20 / $948.06	Facility		$267.43	$475.20	$948.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $261.64 / $581.16 / $1,346.35	Professional		$261.64	$581.16	$1,346.35
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $807.21 / $807.21 / $1,755.71	Professional		$807.21	$807.21	$1,755.71
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $218.53 / $300.48 / $709.97	Professional		$218.53	$300.48	$709.97
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 $421.40 / $685.59 / $1,767.70	Professional		$421.40	$685.59	$1,767.70