Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $881.11 / $5,714.00 / $15,962.00	Facility		$881.11	$5,714.00	$15,962.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $37.29 / $56.03 / $414.39	Facility	53	$37.29	$56.03	$414.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.72 / $287.12 / $1,083.95	Professional		$172.72	$287.12	$1,083.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,759.00 / $4,718.00 / $9,381.00	Facility		$1,759.00	$4,718.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.82 / $342.54 / $750.19	Professional		$234.82	$342.54	$750.19
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.70 / $100.00 / $5,714.18	Facility		$66.70	$100.00	$5,714.18
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $166.77 / $238.24 / $584.37	Professional		$166.77	$238.24	$584.37
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 $181.83 / $298.95 / $818.51	Professional		$181.83	$298.95	$818.51
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $161.13 / $199.90 / $550.71	Professional		$161.13	$199.90	$550.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.74 / $348.15 / $632.54	Professional		$151.74	$348.15	$632.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $861.10 / $879.65 / $12,000.00	Facility		$861.10	$879.65	$12,000.00
Lucent Health Facility/Professional Facility Modifier 53 Low / Median / High Price $76.50 / $148.02 / $148.02	Facility	53	$76.50	$148.02	$148.02
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,568.00 / $2,426.80 / $2,867.70	Professional		$1,568.00	$2,426.80	$2,867.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $182.09 / $302.80 / $517.97	Facility		$182.09	$302.80	$517.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $185.59 / $313.49 / $892.97	Professional		$185.59	$313.49	$892.97
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $4,022.00 / $4,022.00 / $4,022.00	Facility		$4,022.00	$4,022.00	$4,022.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $494.72 / $494.72 / $1,076.56	Professional		$494.72	$494.72	$1,076.56
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $151.87 / $209.47 / $470.71	Professional		$151.87	$209.47	$470.71
United Facility/Professional Facility Modifier Low / Median / High Price $3,800.00 / $7,454.00 / $16,148.00	Facility		$3,800.00	$7,454.00	$16,148.00
United Facility/Professional Professional Modifier Low / Median / High Price $214.22 / $351.43 / $987.48	Professional		$214.22	$351.43	$987.48