Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $344.00 / $4,932.00 / $16,109.00	Facility		$344.00	$4,932.00	$16,109.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.21 / $151.75 / $664.98	Professional		$98.21	$151.75	$664.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,882.00 / $4,542.00 / $9,244.00	Facility		$1,882.00	$4,542.00	$9,244.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.78 / $157.57 / $352.93	Professional		$98.78	$157.57	$352.93
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,170.71	Facility		$66.00	$100.00	$5,170.71
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $103.50 / $189.09 / $371.47	Professional		$103.50	$189.09	$371.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.14 / $184.54 / $371.35	Professional		$114.14	$184.54	$371.35
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $131.52 / $177.55 / $299.38	Professional		$131.52	$177.55	$299.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $115.62 / $206.48 / $390.35	Professional		$115.62	$206.48	$390.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $520.74 / $571.04	Facility		$55.00	$520.74	$571.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,236.00 / $1,433.60 / $1,695.08	Professional		$1,236.00	$1,433.60	$1,695.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $108.82 / $179.76 / $302.39	Facility		$108.82	$179.76	$302.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $115.54 / $197.43 / $383.39	Professional		$115.54	$197.43	$383.39
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $364.66 / $364.66 / $617.11	Professional		$364.66	$364.66	$617.11
United Facility/Professional Facility Modifier Low / Median / High Price $548.00 / $1,533.00 / $5,830.00	Facility		$548.00	$1,533.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $142.74 / $187.59 / $395.31	Professional		$142.74	$187.59	$395.31