Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $422.15 / $6,264.00 / $17,054.00	Facility		$422.15	$6,264.00	$17,054.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $278.13 / $389.61 / $1,701.78	Professional		$278.13	$389.61	$1,701.78
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 $272.47 / $400.26 / $1,000.46	Professional		$272.47	$400.26	$1,000.46
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 $301.01 / $430.01 / $892.65	Professional		$301.01	$430.01	$892.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $326.52 / $485.38 / $969.97	Professional		$326.52	$485.38	$969.97
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $391.52 / $528.54 / $732.00	Professional		$391.52	$528.54	$732.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $351.17 / $546.32 / $956.06	Professional		$351.17	$546.32	$956.06
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,592.56 / $1,721.78 / $26,542.00	Facility		$1,592.56	$1,721.78	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,506.23 / $3,641.92 / $4,308.00	Professional		$2,506.23	$3,641.92	$4,308.00
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 $322.56 / $469.82 / $732.00	Facility		$322.56	$469.82	$732.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $331.41 / $514.29 / $979.74	Professional		$331.41	$514.29	$979.74
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,147.53 / $1,147.53 / $1,666.86	Professional		$1,147.53	$1,147.53	$1,666.86
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,533.00 / $5,691.00	Facility		$587.00	$1,533.00	$5,691.00
United Facility/Professional Professional Modifier Low / Median / High Price $363.50 / $494.25 / $1,104.04	Professional		$363.50	$494.25	$1,104.04