Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $949.50 / $5,384.63 / $15,858.53	Facility		$949.50	$5,384.63	$15,858.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.90 / $287.80 / $1,121.00	Professional		$218.90	$287.80	$1,121.00
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 $277.77 / $385.06 / $808.52	Professional		$277.77	$385.06	$808.52
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.70 / $100.00 / $6,762.58	Facility		$66.70	$100.00	$6,762.58
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $177.19 / $254.95 / $611.29	Professional		$177.19	$254.95	$611.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,115.08 / $2,499.65 / $5,888.95	Facility		$2,115.08	$2,499.65	$5,888.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $221.43 / $310.95 / $708.93	Professional		$221.43	$310.95	$708.93
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $222.95 / $292.88 / $458.90	Professional		$222.95	$292.88	$458.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $236.18 / $333.74 / $578.27	Professional		$236.18	$333.74	$578.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,098.40 / $1,163.04 / $16,394.00	Facility		$1,098.40	$1,163.04	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,686.64 / $2,137.60 / $2,512.19	Professional		$1,686.64	$2,137.60	$2,512.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $259.76 / $343.79 / $499.20	Facility		$259.76	$343.79	$499.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $225.18 / $332.93 / $718.40	Professional		$225.18	$332.93	$718.40
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $3,137.00 / $3,137.00 / $3,137.00	Facility		$3,137.00	$3,137.00	$3,137.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $739.49 / $739.49 / $922.22	Professional		$739.49	$739.49	$922.22
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $214.91 / $295.50 / $392.01	Professional		$214.91	$295.50	$392.01
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 $210.08 / $307.47 / $880.93	Professional		$210.08	$307.47	$880.93