Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $828.25 / $5,576.00 / $17,030.00	Facility		$828.25	$5,576.00	$17,030.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $270.24 / $664.44 / $1,447.56	Professional		$270.24	$664.44	$1,447.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,944.00 / $13,012.00	Facility		$2,143.00	$5,944.00	$13,012.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $300.05 / $745.19 / $2,056.06	Professional		$300.05	$745.19	$2,056.06
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,373.15	Facility		$66.00	$100.00	$7,373.15
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $270.76 / $515.55 / $1,010.28	Professional		$270.76	$515.55	$1,010.28
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 $275.76 / $609.41 / $1,825.18	Professional		$275.76	$609.41	$1,825.18
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $285.39 / $503.50 / $935.49	Professional		$285.39	$503.50	$935.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $260.43 / $593.76 / $1,039.08	Professional		$260.43	$593.76	$1,039.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,778.34 / $1,818.30 / $16,394.00	Facility		$1,778.34	$1,818.30	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,183.23 / $9,121.74 / $9,395.39	Professional		$2,183.23	$9,121.74	$9,395.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $303.30 / $490.28 / $1,306.97	Facility		$303.30	$490.28	$1,306.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $278.33 / $640.19 / $1,704.58	Professional		$278.33	$640.19	$1,704.58
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $856.73 / $856.73 / $1,936.27	Professional		$856.73	$856.73	$1,936.27
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $316.79 / $581.66 / $799.80	Professional		$316.79	$581.66	$799.80
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 $464.25 / $801.42 / $2,031.32	Professional		$464.25	$801.42	$2,031.32