Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $268.52 / $5,382.00 / $16,573.00	Facility		$268.52	$5,382.00	$16,573.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.26 / $239.45 / $843.96	Professional		$121.26	$239.45	$843.96
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 $127.69 / $208.39 / $529.55	Professional		$127.69	$208.39	$529.55
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $267.89 / $366.52 / $407.25	Professional	50	$267.89	$366.52	$407.25
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 $133.72 / $249.90 / $477.67	Professional		$133.72	$249.90	$477.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $499.60 / $745.00 / $961.17	Facility		$499.60	$745.00	$961.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.04 / $276.22 / $661.74	Professional		$137.04	$276.22	$661.74
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $165.19 / $339.14 / $463.68	Professional		$165.19	$339.14	$463.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $139.86 / $273.86 / $514.61	Professional		$139.86	$273.86	$514.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $941.16 / $964.44 / $16,394.00	Facility		$941.16	$964.44	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $998.96 / $2,209.65 / $2,972.32	Professional		$998.96	$2,209.65	$2,972.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $141.04 / $259.07 / $485.20	Facility		$141.04	$259.07	$485.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $139.86 / $294.63 / $713.83	Professional		$139.86	$294.63	$713.83
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $450.43 / $450.43 / $900.03	Professional		$450.43	$450.43	$900.03
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $150.19 / $367.68 / $551.53	Professional		$150.19	$367.68	$551.53
United Facility/Professional Facility Modifier Low / Median / High Price $2,055.00 / $4,213.00 / $9,131.00	Facility		$2,055.00	$4,213.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $207.07 / $266.70 / $607.16	Professional		$207.07	$266.70	$607.16