Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $484.40 / $4,848.00 / $16,713.00	Facility		$484.40	$4,848.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $280.76 / $443.24 / $1,338.25	Professional		$280.76	$443.24	$1,338.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,759.00 / $4,814.00 / $10,536.00	Facility		$1,759.00	$4,814.00	$10,536.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $322.49 / $441.74 / $1,006.79	Professional		$322.49	$441.74	$1,006.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,455.40	Facility		$66.00	$100.00	$5,455.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $300.99 / $429.98 / $1,045.82	Professional		$300.99	$429.98	$1,045.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,518.35 / $1,794.42 / $4,227.49	Facility		$1,518.35	$1,794.42	$4,227.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $334.64 / $518.52 / $1,243.40	Professional		$334.64	$518.52	$1,243.40
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $126.58 / $399.46 / $705.72	Professional		$126.58	$399.46	$705.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $337.19 / $526.79 / $900.74	Professional		$337.19	$526.79	$900.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,253.00 / $2,323.80 / $12,000.00	Facility		$2,253.00	$2,323.80	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,370.96 / $3,351.52 / $3,936.68	Professional		$2,370.96	$3,351.52	$3,936.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $338.22 / $500.97 / $772.45	Facility		$338.22	$500.97	$772.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $338.26 / $546.75 / $1,239.82	Professional		$338.26	$546.75	$1,239.82
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,069.55 / $1,069.55 / $1,535.99	Professional		$1,069.55	$1,069.55	$1,535.99
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $126.58 / $223.48 / $653.61	Professional		$126.58	$223.48	$653.61
United Facility/Professional Facility Modifier Low / Median / High Price $2,125.00 / $4,099.00 / $11,982.00	Facility		$2,125.00	$4,099.00	$11,982.00
United Facility/Professional Professional Modifier Low / Median / High Price $363.71 / $512.94 / $1,576.32	Professional		$363.71	$512.94	$1,576.32