Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $548.66 / $6,516.00 / $17,538.00	Facility		$548.66	$6,516.00	$17,538.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $408.65 / $548.66 / $2,275.06	Professional		$408.65	$548.66	$2,275.06
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 $432.07 / $678.57 / $1,319.40	Professional		$432.07	$678.57	$1,319.40
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 $409.62 / $585.16 / $1,224.89	Professional		$409.62	$585.16	$1,224.89
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 $431.60 / $640.03 / $1,229.45	Professional		$431.60	$640.03	$1,229.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $337.68 / $619.04 / $1,016.16	Professional		$337.68	$619.04	$1,016.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $429.38 / $645.82 / $1,176.32	Professional		$429.38	$645.82	$1,176.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,940.42 / $3,015.78 / $26,542.00	Facility		$2,940.42	$3,015.78	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,284.00 / $4,878.83 / $5,039.83	Professional		$3,284.00	$4,878.83	$5,039.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $518.22 / $693.44 / $1,048.43	Facility		$518.22	$693.44	$1,048.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $442.11 / $678.24 / $1,330.79	Professional		$442.11	$678.24	$1,330.79
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,411.63 / $1,411.63 / $2,011.51	Professional		$1,411.63	$1,411.63	$2,011.51
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $425.84 / $573.29 / $766.51	Professional		$425.84	$573.29	$766.51
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 $452.83 / $591.29 / $1,332.32	Professional		$452.83	$591.29	$1,332.32