Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $303.67 / $423.74 / $2,732.38	Facility		$303.67	$423.74	$2,732.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $313.49 / $644.90 / $2,095.08	Professional		$313.49	$644.90	$2,095.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $388.93 / $470.24 / $1,238.46	Facility		$388.93	$470.24	$1,238.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $413.63 / $610.25 / $1,304.60	Professional		$413.63	$610.25	$1,304.60
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.20 / $100.00 / $1,643.40	Facility		$64.20	$100.00	$1,643.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $299.33 / $427.63 / $1,020.58	Professional		$299.33	$427.63	$1,020.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $361.88 / $535.13 / $1,279.23	Professional		$361.88	$535.13	$1,279.23
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $447.31 / $603.87 / $753.78	Professional		$447.31	$603.87	$753.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $426.60 / $605.76 / $1,018.69	Professional		$426.60	$605.76	$1,018.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,970.98 / $2,042.22	Facility		$55.00	$1,970.98	$2,042.22
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,024.08 / $3,964.16 / $4,858.35	Professional		$3,024.08	$3,964.16	$4,858.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $351.85 / $537.42 / $817.10	Facility		$351.85	$537.42	$817.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $364.18 / $556.35 / $1,316.44	Professional		$364.18	$556.35	$1,316.44
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,121.84 / $1,121.84 / $1,505.34	Professional		$1,121.84	$1,121.84	$1,505.34
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $405.21 / $495.25 / $696.42	Professional		$405.21	$495.25	$696.42
United Facility/Professional Facility Modifier Low / Median / High Price $2,009.00 / $5,159.00 / $20,279.00	Facility		$2,009.00	$5,159.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $375.71 / $540.79 / $1,466.23	Professional		$375.71	$540.79	$1,466.23