Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $682.87 / $5,324.00 / $16,573.00	Facility		$682.87	$5,324.00	$16,573.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $400.51 / $616.75 / $2,624.66	Professional		$400.51	$616.75	$2,624.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,546.00 / $4,617.00 / $9,381.00	Facility		$1,546.00	$4,617.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $462.02 / $691.92 / $1,420.84	Professional		$462.02	$691.92	$1,420.84
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,369.05	Facility		$66.00	$100.00	$5,369.05
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $415.40 / $694.50 / $1,331.94	Professional		$415.40	$694.50	$1,331.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $372.64 / $614.87 / $838.11	Facility		$372.64	$614.87	$838.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $477.42 / $749.23 / $1,446.66	Professional		$477.42	$749.23	$1,446.66
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $432.98 / $655.24 / $1,025.22	Professional		$432.98	$655.24	$1,025.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $488.29 / $732.88 / $1,434.83	Professional		$488.29	$732.88	$1,434.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,362.46 / $3,469.20	Facility		$55.00	$3,362.46	$3,469.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,576.24 / $4,969.60 / $5,699.85	Professional		$3,576.24	$4,969.60	$5,699.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $420.44 / $703.56 / $1,139.86	Facility		$420.44	$703.56	$1,139.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $492.92 / $795.85 / $1,683.51	Professional		$492.92	$795.85	$1,683.51
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,628.53 / $1,628.53 / $2,336.60	Professional		$1,628.53	$1,628.53	$2,336.60
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $514.96 / $690.74 / $949.77	Professional		$514.96	$690.74	$949.77
United Facility/Professional Facility Modifier Low / Median / High Price $1,800.00 / $4,038.00 / $9,072.00	Facility		$1,800.00	$4,038.00	$9,072.00
United Facility/Professional Professional Modifier Low / Median / High Price $541.16 / $697.90 / $1,754.73	Professional		$541.16	$697.90	$1,754.73