Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $422.63 / $5,382.00 / $16,573.00	Facility		$422.63	$5,382.00	$16,573.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $315.33 / $430.63 / $2,072.17	Professional		$315.33	$430.63	$2,072.17
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 $355.82 / $534.88 / $1,062.96	Professional		$355.82	$534.88	$1,062.96
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,720.31	Facility		$66.00	$100.00	$6,720.31
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $293.70 / $419.57 / $988.93	Professional		$293.70	$419.57	$988.93
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 $364.18 / $503.20 / $1,070.43	Professional		$364.18	$503.20	$1,070.43
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $337.30 / $549.72 / $742.12	Professional		$337.30	$549.72	$742.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $375.98 / $516.65 / $936.68	Professional		$375.98	$516.65	$936.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,667.72 / $2,747.76 / $16,394.00	Facility		$2,667.72	$2,747.76	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,835.68 / $3,267.52 / $3,726.23	Professional		$2,835.68	$3,267.52	$3,726.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $448.60 / $563.77 / $797.09	Facility		$448.60	$563.77	$797.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $369.14 / $541.50 / $1,130.17	Professional		$369.14	$541.50	$1,130.17
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,285.73 / $1,285.73 / $1,492.50	Professional		$1,285.73	$1,285.73	$1,492.50
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $409.20 / $499.93 / $638.04	Professional		$409.20	$499.93	$638.04
United Facility/Professional Facility Modifier Low / Median / High Price $2,090.00 / $4,060.00 / $9,072.00	Facility		$2,090.00	$4,060.00	$9,072.00
United Facility/Professional Professional Modifier Low / Median / High Price $345.87 / $445.90 / $1,162.58	Professional		$345.87	$445.90	$1,162.58