Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $530.00 / $6,423.00 / $17,393.00	Facility		$530.00	$6,423.00	$17,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $274.95 / $327.83 / $793.30	Professional		$274.95	$327.83	$793.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $6,986.00 / $13,707.00	Facility		$2,456.00	$6,986.00	$13,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $370.57 / $487.94 / $955.89	Professional		$370.57	$487.94	$955.89
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,011.98	Facility		$66.00	$100.00	$8,011.98
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $238.01 / $352.37 / $830.74	Professional		$238.01	$352.37	$830.74
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 $305.91 / $408.31 / $912.87	Professional		$305.91	$408.31	$912.87
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $229.54 / $400.90 / $552.54	Professional		$229.54	$400.90	$552.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $321.05 / $436.17 / $734.61	Professional		$321.05	$436.17	$734.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,529.38 / $2,606.44 / $26,542.00	Facility		$2,529.38	$2,606.44	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,284.80 / $3,031.43 / $3,058.35	Professional		$2,284.80	$3,031.43	$3,058.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $346.40 / $452.16 / $621.01	Facility		$346.40	$452.16	$621.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $307.89 / $429.88 / $890.17	Professional		$307.89	$429.88	$890.17
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,008.59 / $1,008.59 / $1,133.60	Professional		$1,008.59	$1,008.59	$1,133.60
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $229.54 / $386.12 / $471.92	Professional		$229.54	$386.12	$471.92
United Facility/Professional Facility Modifier Low / Median / High Price $3,459.00 / $7,352.00 / $15,471.00	Facility		$3,459.00	$7,352.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $266.56 / $398.40 / $1,160.36	Professional		$266.56	$398.40	$1,160.36