Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $443.11 / $6,264.00 / $17,030.00	Facility		$443.11	$6,264.00	$17,030.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $320.74 / $403.34 / $1,318.43	Professional		$320.74	$403.34	$1,318.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $6,945.00 / $13,707.00	Facility		$2,143.00	$6,945.00	$13,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $337.35 / $507.12 / $1,021.75	Professional		$337.35	$507.12	$1,021.75
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,680.36	Facility		$66.00	$100.00	$7,680.36
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $305.31 / $436.15 / $884.18	Professional		$305.31	$436.15	$884.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $571.29 / $1,458.73 / $1,988.34	Facility		$571.29	$1,458.73	$1,988.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.25 / $528.44 / $1,065.57	Professional		$354.25	$528.44	$1,065.57
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $442.90 / $575.54 / $776.99	Professional		$442.90	$575.54	$776.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $370.07 / $514.12 / $903.97	Professional		$370.07	$514.12	$903.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,517.06 / $2,583.71 / $26,542.00	Facility		$2,517.06	$2,583.71	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,670.80 / $3,628.37 / $3,859.88	Professional		$2,670.80	$3,628.37	$3,859.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $380.10 / $531.48 / $785.19	Facility		$380.10	$531.48	$785.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $362.63 / $562.17 / $1,124.88	Professional		$362.63	$562.17	$1,124.88
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,206.51 / $1,206.51 / $1,532.29	Professional		$1,206.51	$1,206.51	$1,532.29
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $402.73 / $560.58 / $840.87	Professional		$402.73	$560.58	$840.87
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,384.00 / $15,471.00	Facility		$3,523.00	$7,384.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $353.70 / $458.50 / $1,174.10	Professional		$353.70	$458.50	$1,174.10