Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $462.00 / $5,829.00 / $17,013.00	Facility		$462.00	$5,829.00	$17,013.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $214.38 / $383.24 / $1,521.07	Professional		$214.38	$383.24	$1,521.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,944.00 / $13,012.00	Facility		$2,143.00	$5,944.00	$13,012.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.04 / $341.72 / $780.61	Professional		$245.04	$341.72	$780.61
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $387.84 / $512.61 / $569.73	Professional	50	$387.84	$512.61	$569.73
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,919.63	Facility		$66.00	$100.00	$6,919.63
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $248.25 / $354.64 / $819.03	Professional		$248.25	$354.64	$819.03
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 $258.29 / $440.51 / $1,072.48	Professional		$258.29	$440.51	$1,072.48
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $180.57 / $341.57 / $620.88	Professional		$180.57	$341.57	$620.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $273.54 / $445.29 / $779.22	Professional		$273.54	$445.29	$779.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,768.92 / $1,831.56 / $16,394.00	Facility		$1,768.92	$1,831.56	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,861.84 / $2,914.00 / $3,422.70	Professional		$1,861.84	$2,914.00	$3,422.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $245.10 / $385.10 / $659.00	Facility		$245.10	$385.10	$659.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $260.80 / $459.36 / $1,061.01	Professional		$260.80	$459.36	$1,061.01
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $823.68 / $823.68 / $1,328.58	Professional		$823.68	$823.68	$1,328.58
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $180.57 / $286.33 / $575.12	Professional		$180.57	$286.33	$575.12
United Facility/Professional Facility Modifier Low / Median / High Price $2,212.00 / $4,218.00 / $10,979.00	Facility		$2,212.00	$4,218.00	$10,979.00
United Facility/Professional Professional Modifier Low / Median / High Price $317.52 / $457.69 / $1,400.26	Professional		$317.52	$457.69	$1,400.26