Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $447.18 / $5,382.00 / $16,573.00	Facility		$447.18	$5,382.00	$16,573.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $340.69 / $447.20 / $2,164.16	Professional		$340.69	$447.20	$2,164.16
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 $380.82 / $569.84 / $1,138.84	Professional		$380.82	$569.84	$1,138.84
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 $310.25 / $449.07 / $1,073.17	Professional		$310.25	$449.07	$1,073.17
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 $380.96 / $526.79 / $1,100.42	Professional		$380.96	$526.79	$1,100.42
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $253.16 / $576.70 / $778.55	Professional		$253.16	$576.70	$778.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $399.41 / $549.33 / $995.90	Professional		$399.41	$549.33	$995.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,808.72 / $2,893.32 / $16,394.00	Facility		$2,808.72	$2,893.32	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,976.88 / $3,397.95 / $3,873.15	Professional		$2,976.88	$3,397.95	$3,873.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $470.96 / $587.74 / $836.22	Facility		$470.96	$587.74	$836.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $388.38 / $563.42 / $1,181.48	Professional		$388.38	$563.42	$1,181.48
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,342.80 / $1,342.80 / $1,530.34	Professional		$1,342.80	$1,342.80	$1,530.34
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $329.11 / $454.32 / $574.66	Professional		$329.11	$454.32	$574.66
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 $354.64 / $458.15 / $1,035.99	Professional		$354.64	$458.15	$1,035.99