Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $482.05 / $5,382.00 / $16,573.00	Facility		$482.05	$5,382.00	$16,573.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $279.12 / $432.45 / $2,167.05	Professional		$279.12	$432.45	$2,167.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,097.00 / $5,863.00 / $11,400.00	Facility		$2,097.00	$5,863.00	$11,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $308.56 / $460.16 / $971.27	Professional		$308.56	$460.16	$971.27
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,833.23	Facility		$66.00	$100.00	$6,833.23
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $291.81 / $483.05 / $930.52	Professional		$291.81	$483.05	$930.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $499.60 / $1,458.73 / $1,988.34	Facility		$499.60	$1,458.73	$1,988.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $332.87 / $526.60 / $1,054.33	Professional		$332.87	$526.60	$1,054.33
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $154.50 / $502.96 / $879.98	Professional		$154.50	$502.96	$879.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $355.89 / $542.71 / $1,010.35	Professional		$355.89	$542.71	$1,010.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,398.44 / $2,474.04 / $16,394.00	Facility		$2,398.44	$2,474.04	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,548.32 / $3,757.92 / $4,327.80	Professional		$2,548.32	$3,757.92	$4,327.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $235.17 / $484.52 / $820.90	Facility		$235.17	$484.52	$820.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $336.35 / $556.33 / $1,235.54	Professional		$336.35	$556.33	$1,235.54
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,159.53 / $1,159.53 / $1,724.54	Professional		$1,159.53	$1,159.53	$1,724.54
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $200.86 / $338.76 / $592.90	Professional		$200.86	$338.76	$592.90
United Facility/Professional Facility Modifier Low / Median / High Price $3,190.00 / $7,352.00 / $14,743.00	Facility		$3,190.00	$7,352.00	$14,743.00
United Facility/Professional Professional Modifier Low / Median / High Price $385.44 / $503.46 / $1,279.55	Professional		$385.44	$503.46	$1,279.55