Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $576.11 / $5,382.00 / $16,210.00	Facility		$576.11	$5,382.00	$16,210.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $368.06 / $527.34 / $2,325.91	Professional		$368.06	$527.34	$2,325.91
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 $417.12 / $627.03 / $1,256.92	Professional		$417.12	$627.03	$1,256.92
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 $432.08 / $617.26 / $1,231.82	Professional		$432.08	$617.26	$1,231.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $499.60 / $1,458.73 / $1,988.34	Facility		$499.60	$1,458.73	$1,988.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $435.22 / $644.38 / $1,251.59	Professional		$435.22	$644.38	$1,251.59
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $348.47 / $613.12 / $986.57	Professional		$348.47	$613.12	$986.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $420.52 / $640.78 / $1,176.32	Professional		$420.52	$640.78	$1,176.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,979.00 / $3,061.44 / $16,394.00	Facility		$2,979.00	$3,061.44	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,168.08 / $4,921.06 / $5,083.46	Professional		$3,168.08	$4,921.06	$5,083.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $453.99 / $676.02 / $1,029.39	Facility		$453.99	$676.02	$1,029.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $440.23 / $689.52 / $1,329.26	Professional		$440.23	$689.52	$1,329.26
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,443.18 / $1,443.18 / $1,972.13	Professional		$1,443.18	$1,443.18	$1,972.13
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $439.45 / $571.29 / $791.01	Professional		$439.45	$571.29	$791.01
United Facility/Professional Facility Modifier Low / Median / High Price $3,190.00 / $7,352.00 / $14,743.00	Facility		$3,190.00	$7,352.00	$14,743.00
United Facility/Professional Professional Modifier Low / Median / High Price $464.91 / $592.20 / $1,330.33	Professional		$464.91	$592.20	$1,330.33