Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.71 / $7,000.00 / $18,293.00	Facility		$117.71	$7,000.00	$18,293.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.11 / $117.71 / $546.51	Professional		$83.11	$117.71	$546.51
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 $85.56 / $127.24 / $299.08	Professional		$85.56	$127.24	$299.08
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 $94.05 / $138.05 / $281.74	Professional		$94.05	$138.05	$281.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.26 / $146.01 / $288.97	Professional		$97.26	$146.01	$288.97
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $113.22 / $152.85 / $209.68	Professional		$113.22	$152.85	$209.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $101.90 / $156.90 / $274.58	Professional		$101.90	$156.90	$274.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $463.23 / $499.46	Facility		$55.00	$463.23	$499.46
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $731.36 / $1,051.11 / $1,237.73	Professional		$731.36	$1,051.11	$1,237.73
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 $100.08 / $152.65 / $233.98	Facility		$100.08	$152.65	$233.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $98.87 / $153.27 / $294.33	Professional		$98.87	$153.27	$294.33
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $339.11 / $339.11 / $471.34	Professional		$339.11	$339.11	$471.34
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 $108.94 / $144.55 / $355.57	Professional		$108.94	$144.55	$355.57