Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $808.93 / $5,382.00 / $16,713.00	Facility		$808.93	$5,382.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $589.29 / $742.81 / $3,788.73	Professional		$589.29	$742.81	$3,788.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,160.00 / $5,944.00 / $13,697.00	Facility		$2,160.00	$5,944.00	$13,697.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $570.66 / $778.07 / $2,060.21	Professional		$570.66	$778.07	$2,060.21
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,981.41	Facility		$66.00	$100.00	$5,981.41
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $489.16 / $692.69 / $1,662.44	Professional		$489.16	$692.69	$1,662.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $673.27 / $912.71 / $1,883.18	Professional		$673.27	$912.71	$1,883.18
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $843.69 / $1,050.24 / $1,260.29	Professional		$843.69	$1,050.24	$1,260.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $717.01 / $996.92 / $1,710.60	Professional		$717.01	$996.92	$1,710.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,354.76 / $3,642.59	Facility		$55.00	$3,354.76	$3,642.59
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,198.47 / $6,272.08 / $7,416.38	Professional		$5,198.47	$6,272.08	$7,416.38
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 $696.17 / $920.23 / $1,272.35	Facility		$696.17	$920.23	$1,272.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $680.89 / $974.02 / $1,903.32	Professional		$680.89	$974.02	$1,903.32
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,350.83 / $2,350.83 / $2,852.13	Professional		$2,350.83	$2,350.83	$2,852.13
United Facility/Professional Facility Modifier Low / Median / High Price $2,348.00 / $4,243.00 / $9,131.00	Facility		$2,348.00	$4,243.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $643.44 / $871.50 / $2,444.27	Professional		$643.44	$871.50	$2,444.27