Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $513.11 / $4,932.00 / $16,713.00	Facility		$513.11	$4,932.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $404.62 / $474.44 / $2,407.28	Professional		$404.62	$474.44	$2,407.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,759.00 / $4,814.00 / $10,536.00	Facility		$1,759.00	$4,814.00	$10,536.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.72 / $648.17 / $1,300.14	Professional		$489.72	$648.17	$1,300.14
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,804.58	Facility		$66.00	$100.00	$5,804.58
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $302.81 / $447.10 / $1,062.09	Professional		$302.81	$447.10	$1,062.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,518.35 / $1,794.42 / $4,227.49	Facility		$1,518.35	$1,794.42	$4,227.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $435.42 / $560.91 / $1,225.13	Professional		$435.42	$560.91	$1,225.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $282.58 / $536.99 / $698.09	Professional		$282.58	$536.99	$698.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $434.33 / $574.32 / $1,012.99	Professional		$434.33	$574.32	$1,012.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,009.24 / $2,147.29 / $12,000.00	Facility		$2,009.24	$2,147.29	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,133.76 / $3,857.48 / $4,093.34	Professional		$3,133.76	$3,857.48	$4,093.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $459.01 / $590.05 / $849.85	Facility		$459.01	$590.05	$849.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $437.08 / $584.75 / $1,207.58	Professional		$437.08	$584.75	$1,207.58
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,392.68 / $1,392.68 / $1,493.66	Professional		$1,392.68	$1,392.68	$1,493.66
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $356.35 / $480.38 / $596.39	Professional		$356.35	$480.38	$596.39
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 $366.24 / $536.28 / $1,503.18	Professional		$366.24	$536.28	$1,503.18