Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $565.90 / $5,823.00 / $17,013.00	Facility		$565.90	$5,823.00	$17,013.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $277.11 / $456.33 / $1,648.93	Professional		$277.11	$456.33	$1,648.93
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 $321.74 / $567.94 / $1,196.81	Professional		$321.74	$567.94	$1,196.81
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,340.45	Facility		$66.00	$100.00	$7,340.45
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $268.51 / $546.41 / $1,043.58	Professional		$268.51	$546.41	$1,043.58
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 $286.94 / $501.60 / $1,180.11	Professional		$286.94	$501.60	$1,180.11
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $151.90 / $352.98 / $597.96	Professional		$151.90	$352.98	$597.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $282.83 / $420.93 / $748.92	Professional		$282.83	$420.93	$748.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,307.32 / $1,397.64 / $16,394.00	Facility		$1,307.32	$1,397.64	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,040.96 / $2,338.50 / $3,495.67	Professional		$2,040.96	$2,338.50	$3,495.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $203.18 / $419.85 / $736.66	Facility		$203.18	$419.85	$736.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $291.25 / $528.42 / $1,145.33	Professional		$291.25	$528.42	$1,145.33
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $910.00 / $910.00 / $1,365.62	Professional		$910.00	$910.00	$1,365.62
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $191.56 / $287.77 / $511.04	Professional		$191.56	$287.77	$511.04
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 $341.91 / $537.08 / $1,439.98	Professional		$341.91	$537.08	$1,439.98