Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $515.99 / $5,382.00 / $16,573.00	Facility		$515.99	$5,382.00	$16,573.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $337.11 / $491.38 / $2,241.09	Professional		$337.11	$491.38	$2,241.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,097.00 / $5,944.00 / $13,012.00	Facility		$2,097.00	$5,944.00	$13,012.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $378.19 / $548.20 / $1,142.48	Professional		$378.19	$548.20	$1,142.48
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,159.08	Facility		$66.00	$100.00	$7,159.08
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $349.75 / $519.72 / $1,032.23	Professional		$349.75	$519.72	$1,032.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $499.60 / $2,256.40 / $3,075.60	Facility		$499.60	$2,256.40	$3,075.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $390.93 / $576.57 / $1,112.06	Professional		$390.93	$576.57	$1,112.06
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $210.72 / $592.08 / $902.18	Professional		$210.72	$592.08	$902.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $396.36 / $587.54 / $1,075.60	Professional		$396.36	$587.54	$1,075.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,803.08 / $2,879.94 / $16,394.00	Facility		$2,803.08	$2,879.94	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,977.04 / $3,886.08 / $4,458.08	Professional		$2,977.04	$3,886.08	$4,458.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $389.22 / $575.79 / $865.85	Facility		$389.22	$575.79	$865.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $396.98 / $617.24 / $1,217.58	Professional		$396.98	$617.24	$1,217.58
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,345.69 / $1,345.69 / $1,786.88	Professional		$1,345.69	$1,345.69	$1,786.88
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $273.94 / $431.30 / $607.84	Professional		$273.94	$431.30	$607.84
United Facility/Professional Facility Modifier Low / Median / High Price $4,244.00 / $9,713.00 / $21,278.00	Facility		$4,244.00	$9,713.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $411.74 / $534.10 / $1,310.58	Professional		$411.74	$534.10	$1,310.58