Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.00 / $7,000.00 / $18,293.00	Facility		$147.00	$7,000.00	$18,293.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.09 / $146.44 / $593.82	Professional		$98.09	$146.44	$593.82
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 $99.26 / $148.75 / $342.10	Professional		$99.26	$148.75	$342.10
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.90 / $100.00 / $1,588.01	Facility		$65.90	$100.00	$1,588.01
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $105.21 / $168.82 / $334.88	Professional		$105.21	$168.82	$334.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.11 / $168.05 / $316.05	Professional		$113.11	$168.05	$316.05
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $124.16 / $167.62 / $231.61	Professional		$124.16	$167.62	$231.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $111.74 / $173.45 / $303.54	Professional		$111.74	$173.45	$303.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $510.17 / $548.72	Facility		$55.00	$510.17	$548.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $802.96 / $1,160.80 / $1,372.65	Professional		$802.96	$1,160.80	$1,372.65
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 $108.83 / $159.25 / $243.70	Facility		$108.83	$159.25	$243.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $113.32 / $176.46 / $336.13	Professional		$113.32	$176.46	$336.13
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $368.45 / $368.45 / $518.72	Professional		$368.45	$368.45	$518.72
United Facility/Professional Facility Modifier Low / Median / High Price $1,410.00 / $2,761.00 / $7,655.00	Facility		$1,410.00	$2,761.00	$7,655.00
United Facility/Professional Professional Modifier Low / Median / High Price $122.58 / $163.44 / $344.32	Professional		$122.58	$163.44	$344.32