Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $379.62 / $6,229.00 / $17,030.00	Facility		$379.62	$6,229.00	$17,030.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $252.36 / $379.62 / $1,733.04	Professional		$252.36	$379.62	$1,733.04
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 $267.22 / $436.13 / $942.93	Professional		$267.22	$436.13	$942.93
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 $275.63 / $404.34 / $827.82	Professional		$275.63	$404.34	$827.82
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 $291.77 / $470.09 / $1,012.78	Professional		$291.77	$470.09	$1,012.78
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $242.00 / $481.33 / $822.81	Professional		$242.00	$481.33	$822.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $336.16 / $525.54 / $930.23	Professional		$336.16	$525.54	$930.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,253.17 / $2,315.82 / $26,542.00	Facility		$2,253.17	$2,315.82	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,386.08 / $3,700.00 / $4,015.05	Professional		$2,386.08	$3,700.00	$4,015.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $341.18 / $502.40 / $771.88	Facility		$341.18	$502.40	$771.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $292.80 / $501.03 / $1,129.58	Professional		$292.80	$501.03	$1,129.58
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,075.30 / $1,075.30 / $1,605.45	Professional		$1,075.30	$1,075.30	$1,605.45
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $314.58 / $427.25 / $554.41	Professional		$314.58	$427.25	$554.41
United Facility/Professional Facility Modifier Low / Median / High Price $3,087.00 / $7,335.00 / $14,743.00	Facility		$3,087.00	$7,335.00	$14,743.00
United Facility/Professional Professional Modifier Low / Median / High Price $333.00 / $460.58 / $1,065.65	Professional		$333.00	$460.58	$1,065.65