Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $621.44 / $5,382.00 / $16,573.00	Facility		$621.44	$5,382.00	$16,573.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.48 / $563.29 / $1,328.44	Professional		$389.48	$563.29	$1,328.44
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 $436.57 / $649.53 / $1,321.51	Professional		$436.57	$649.53	$1,321.51
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 $403.23 / $630.23 / $1,232.94	Professional		$403.23	$630.23	$1,232.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $499.60 / $1,726.46 / $2,353.27	Facility		$499.60	$1,726.46	$2,353.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $459.52 / $692.42 / $1,380.88	Professional		$459.52	$692.42	$1,380.88
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $227.85 / $686.52 / $1,066.04	Professional		$227.85	$686.52	$1,066.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $459.85 / $694.01 / $1,214.52	Professional		$459.85	$694.01	$1,214.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,253.20 / $3,344.76 / $16,394.00	Facility		$3,253.20	$3,344.76	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,453.68 / $4,584.56 / $5,268.83	Professional		$3,453.68	$4,584.56	$5,268.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $454.01 / $691.12 / $1,077.34	Facility		$454.01	$691.12	$1,077.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $475.08 / $742.55 / $1,539.12	Professional		$475.08	$742.55	$1,539.12
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,565.95 / $1,565.95 / $2,135.77	Professional		$1,565.95	$1,565.95	$2,135.77
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $296.20 / $488.47 / $718.24	Professional		$296.20	$488.47	$718.24
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,359.00 / $15,471.00	Facility		$3,523.00	$7,359.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $496.86 / $637.70 / $1,439.48	Professional		$496.86	$637.70	$1,439.48