Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.67 / $4,704.00 / $16,109.00	Facility		$204.67	$4,704.00	$16,109.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.70 / $187.94 / $692.12	Professional		$115.70	$187.94	$692.12
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 $115.99 / $180.17 / $409.05	Professional		$115.99	$180.17	$409.05
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.90 / $100.00 / $1,617.80	Facility		$65.90	$100.00	$1,617.80
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $122.85 / $216.99 / $428.61	Professional		$122.85	$216.99	$428.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.47 / $213.27 / $430.31	Professional		$133.47	$213.27	$430.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $149.15 / $201.35 / $325.50	Professional		$149.15	$201.35	$325.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $132.09 / $226.13 / $465.00	Professional		$132.09	$226.13	$465.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $596.47 / $650.61	Facility		$55.00	$596.47	$650.61
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,473.00 / $2,772.20 / $2,772.20	Professional		$2,473.00	$2,772.20	$2,772.20
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 $127.17 / $204.70 / $355.81	Facility		$127.17	$204.70	$355.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $134.22 / $225.57 / $434.95	Professional		$134.22	$225.57	$434.95
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $429.45 / $429.45 / $702.34	Professional		$429.45	$429.45	$702.34
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,551.00 / $5,830.00	Facility		$587.00	$1,551.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $162.28 / $210.09 / $483.83	Professional		$162.28	$210.09	$483.83