Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $5,382.00 / $17,054.00	Facility		$1,017.00	$5,382.00	$17,054.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.55 / $152.05 / $808.20	Professional		$142.55	$152.05	$808.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,505.00 / $9,119.00	Facility		$1,723.00	$4,505.00	$9,119.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $185.33 / $256.55 / $462.43	Professional		$185.33	$256.55	$462.43
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,170.71	Facility		$66.00	$100.00	$5,170.71
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $115.54 / $175.69 / $433.21	Professional		$115.54	$175.69	$433.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.66 / $311.60 / $734.10	Facility		$263.66	$311.60	$734.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.49 / $203.84 / $618.22	Professional		$152.49	$203.84	$618.22
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $101.27 / $176.49 / $238.26	Professional		$101.27	$176.49	$238.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $157.44 / $203.70 / $368.25	Professional		$157.44	$203.70	$368.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,301.13 / $2,922.50	Facility		$55.00	$1,301.13	$2,922.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,131.28 / $1,158.00 / $1,315.95	Professional		$1,131.28	$1,158.00	$1,315.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $162.96 / $210.00 / $282.38	Facility		$162.96	$210.00	$282.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $153.26 / $208.35 / $437.85	Professional		$153.26	$208.35	$437.85
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $501.47 / $501.47 / $501.47	Professional		$501.47	$501.47	$501.47
United Facility/Professional Facility Modifier Low / Median / High Price $421.00 / $1,495.00 / $6,323.00	Facility		$421.00	$1,495.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $124.32 / $177.60 / $504.68	Professional		$124.32	$177.60	$504.68