Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $253.60 / $9,639.00 / $20,509.00	Facility		$253.60	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $237.03 / $253.59 / $2,340.90	Professional		$237.03	$253.59	$2,340.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $6,048.00 / $13,012.00	Facility		$2,143.00	$6,048.00	$13,012.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $312.17 / $465.12 / $1,257.91	Professional		$312.17	$465.12	$1,257.91
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $10,317.12	Facility		$66.00	$100.00	$10,317.12
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $204.36 / $316.24 / $786.88	Professional		$204.36	$316.24	$786.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.35 / $489.68 / $1,266.86	Professional		$257.35	$489.68	$1,266.86
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $223.38 / $338.04 / $593.63	Professional		$223.38	$338.04	$593.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $445.22 / $569.63 / $1,031.83	Professional		$445.22	$569.63	$1,031.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,889.39 / $13,960.05	Facility		$55.00	$2,889.39	$13,960.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,236.88 / $3,321.36 / $3,743.63	Professional		$3,236.88	$3,321.36	$3,743.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $330.50 / $521.67 / $706.20	Facility		$330.50	$521.67	$706.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $266.94 / $511.66 / $1,184.89	Professional		$266.94	$511.66	$1,184.89
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,452.50 / $1,452.50 / $1,452.50	Professional		$1,452.50	$1,452.50	$1,452.50
United Facility/Professional Facility Modifier Low / Median / High Price $3,459.00 / $7,359.00 / $15,471.00	Facility		$3,459.00	$7,359.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $239.45 / $465.12 / $1,493.60	Professional		$239.45	$465.12	$1,493.60