Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $522.61 / $6,546.00 / $17,538.00	Facility		$522.61	$6,546.00	$17,538.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.95 / $513.59 / $2,348.21	Professional		$354.95	$513.59	$2,348.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,275.00 / $8,441.00 / $16,676.00	Facility		$2,275.00	$8,441.00	$16,676.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $399.34 / $636.48 / $1,245.15	Professional		$399.34	$636.48	$1,245.15
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $9,497.06	Facility		$66.00	$100.00	$9,497.06
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $389.01 / $555.73 / $1,153.13	Professional		$389.01	$555.73	$1,153.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $705.31 / $1,458.73 / $1,988.34	Facility		$705.31	$1,458.73	$1,988.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $424.21 / $623.42 / $1,226.97	Professional		$424.21	$623.42	$1,226.97
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $337.30 / $618.66 / $1,015.12	Professional		$337.30	$618.66	$1,015.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $429.03 / $654.55 / $1,155.07	Professional		$429.03	$654.55	$1,155.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,939.88 / $3,012.90 / $26,542.00	Facility		$2,939.88	$3,012.90	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,284.00 / $4,946.76 / $5,110.01	Professional		$3,284.00	$4,946.76	$5,110.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $507.58 / $682.14 / $1,028.08	Facility		$507.58	$682.14	$1,028.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $432.11 / $658.45 / $1,346.06	Professional		$432.11	$658.45	$1,346.06
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,408.67 / $1,408.67 / $2,010.95	Professional		$1,408.67	$1,408.67	$2,010.95
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $425.37 / $572.95 / $765.66	Professional		$425.37	$572.95	$765.66
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 $451.17 / $590.16 / $1,494.12	Professional		$451.17	$590.16	$1,494.12