Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $285.76 / $6,264.00 / $17,054.00	Facility		$285.76	$6,264.00	$17,054.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.42 / $259.94 / $1,349.53	Professional		$189.42	$259.94	$1,349.53
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 $179.94 / $270.77 / $629.96	Professional		$179.94	$270.77	$629.96
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,826.58	Facility		$66.00	$100.00	$7,826.58
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $201.92 / $323.00 / $646.05	Professional		$201.92	$323.00	$646.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.99 / $338.45 / $678.73	Professional		$220.99	$338.45	$678.73
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $287.99 / $388.79 / $544.42	Professional		$287.99	$388.79	$544.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.10 / $404.01 / $709.22	Professional		$257.10	$404.01	$709.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,164.09 / $1,344.00 / $26,542.00	Facility		$1,164.09	$1,344.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,833.04 / $2,694.32 / $3,185.25	Professional		$1,833.04	$2,694.32	$3,185.25
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 $188.50 / $333.60 / $544.42	Facility		$188.50	$333.60	$544.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $225.22 / $353.11 / $724.48	Professional		$225.22	$353.11	$724.48
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $837.37 / $837.37 / $1,217.25	Professional		$837.37	$837.37	$1,217.25
United Facility/Professional Facility Modifier Low / Median / High Price $570.00 / $1,523.00 / $5,691.00	Facility		$570.00	$1,523.00	$5,691.00
United Facility/Professional Professional Modifier Low / Median / High Price $254.72 / $349.80 / $925.61	Professional		$254.72	$349.80	$925.61