Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.36 / $7,000.00 / $18,293.00	Facility		$91.36	$7,000.00	$18,293.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.55 / $91.36 / $387.25	Professional		$62.55	$91.36	$387.25
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 $62.77 / $94.98 / $209.40	Professional		$62.77	$94.98	$209.40
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 $67.36 / $104.34 / $202.39	Professional		$67.36	$104.34	$202.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.50 / $108.44 / $209.83	Professional		$71.50	$108.44	$209.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $80.70 / $108.95 / $158.53	Professional		$80.70	$108.95	$158.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.67 / $116.62 / $206.82	Professional		$72.67	$116.62	$206.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $330.03 / $355.87	Facility		$55.00	$330.03	$355.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $594.00 / $787.60 / $929.25	Professional		$594.00	$787.60	$929.25
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 $73.50 / $110.01 / $174.87	Facility		$73.50	$110.01	$174.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.40 / $114.27 / $214.11	Professional		$72.40	$114.27	$214.11
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $240.27 / $240.27 / $350.87	Professional		$240.27	$240.27	$350.87
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 $80.76 / $107.45 / $237.54	Professional		$80.76	$107.45	$237.54