Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $753.08 / $753.08 / $1,569.94	Facility		$753.08	$753.08	$1,569.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $509.27 / $753.08 / $1,569.94	Professional		$509.27	$753.08	$1,569.94
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 $151.19 / $261.50 / $606.62	Professional		$151.19	$261.50	$606.62
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $1,867.07 / $4,641.89 / $9,799.24	Facility		$1,867.07	$4,641.89	$9,799.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $121.66 / $230.19 / $609.50	Professional		$121.66	$230.19	$609.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.00 / $301.43 / $581.62	Professional		$209.00	$301.43	$581.62
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $87.49 / $155.40 / $383.54	Professional		$87.49	$155.40	$383.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.88 / $246.63 / $442.55	Professional		$128.88	$246.63	$442.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $879.60 / $904.08 / $16,394.00	Facility		$879.60	$904.08	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $938.64 / $1,737.92 / $2,012.70	Professional		$938.64	$1,737.92	$2,012.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $108.68 / $218.40 / $389.63	Facility		$108.68	$218.40	$389.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $228.32 / $339.63 / $648.72	Professional		$228.32	$339.63	$648.72
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $425.11 / $425.11 / $824.23	Professional		$425.11	$425.11	$824.23
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $110.33 / $156.82 / $327.87	Professional		$110.33	$156.82	$327.87
United Facility/Professional Facility Modifier Low / Median / High Price $180.00 / $180.00 / $1,656.81	Facility		$180.00	$180.00	$1,656.81
United Facility/Professional Professional Modifier Low / Median / High Price $191.43 / $276.51 / $824.31	Professional		$191.43	$276.51	$824.31